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Organization
ECUMEN
Active
Organization
ECUMEN
Active
Other names
The Evergreens of Moorhead
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS HARRISON (CFO)
(651) 766-4300
Entity
Organization
Contact information
Practice address
512 3RD AVE S, MOORHEAD, MN 56560-2703
(218) 233-1535
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8166
(651) 766-4300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
334113
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457469900
—
MN
Enumeration date
05/10/2007
Last updated
04/22/2026
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