# EVERGREEN PLACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326445388
- **Authorized official:** MRS. BETH ANN MCGARRY LNHA (ADMINISTRATOR)
- **Authorized official phone:** (218) 652-6702

## Contact information

- **Practice address:** 23299 285TH AVE, AKELEY, MN 56433-8020
- **Practice address phone:** (218) 652-6702
- **Practice address fax:** (218) 652-6710
- **Mailing address:** 23299 285TH AVE, AKELEY, MN 56433-8020
- **Mailing address phone:** (218) 652-6702
- **Mailing address fax:** (218) 652-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1075244 | MN | Yes |
| 385H00000X | Respite Care | 1075464-1HCBS | MN | — |

## Other

- **Enumeration date:** 11/19/2014
- **Last updated:** 11/19/2014