Organization
EV FW LIMITED PARTNERSHIP
Active
Other names
Evergreen Village at Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ECHOLS (CO-PRESIDENT OF MANAGEMENT COMPANY)
(815) 935-1992
Entity
Organization
Contact information
Practice address
12523 AUBURN RD, FORT WAYNE, IN 46845-8797
(260) 637-2830
(260) 367-9393
Mailing address
200 E COURT ST STE 400, KANKAKEE, IL 60901-3848
(815) 935-1992
(815) 935-8380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
09/18/2024
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