Organization
EVERGREEN ASSISTED LIVING HOMES INC
Active
Parent organization
EVERGREEN ASSISTED LIVING HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN ASSISTED LIVING HOME
Authorized official
EUNWON BUFORD CBO (CBO)
(651) 280-0210
Entity
Organization
Contact information
Practice address
7016 ANTRIM RD, EDINA, MN 55439-1708
(612) 234-2101
Mailing address
2526 THOMAS AVE S, MINNEAPOLIS, MN 55405-2344
(612) 234-2101
(612) 500-4948
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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