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Organization
EVERGREEN ASSISTED LIVING HOMES INC
Active
Organization
EVERGREEN ASSISTED LIVING HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNIE BUFORD (ADMINISTRATOR)
(651) 280-0210
Entity
Organization
Contact information
Practice address
1215 LAKE LUCY RD, CHANHASSEN, MN 55317-9433
(651) 280-0210
Mailing address
7016 ANTRIM RD, EDINA, MN 55439-1708
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
01/19/2024
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