Organization
EVERGREEN HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY ROBERT HIGGINBOTHAM (OWNER)
(417) 850-3063
Entity
Organization
Contact information
Practice address
445 E 10TH ST, BAXTER SPRINGS, KS 66713-1614
(620) 304-2108
(620) 304-2109
Mailing address
PO BOX 92, RACINE, MO 64858-0092
(417) 850-3063
(620) 304-2109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us