Organization
EVERGREEN PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GUSTAVO GONZALEZ VILLARRUEL (OWNER)
(801) 921-0070
Entity
Organization
Contact information
Practice address
163 E 7800 S, MIDVALE, UT 84047-2612
(801) 921-0070
Mailing address
PO BOX 9193, MIDVALE, UT 84047-9193
(801) 921-0070
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
03/17/2018
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