Organization
EVERGREEN OPCO LLC
Active
Other names
Evergreen senior living community; Evergreen memory care community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR WART (MANAGER)
(503) 706-6918
Entity
Organization
Contact information
Practice address
3760 N CLAREY ST, EUGENE, OR 97402-8744
(541) 607-9525
Mailing address
609 LAKEVIEW BLVD, SANDPOINT, ID 83864-1120
(503) 706-6918
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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