Organization
EVERGREEN LIVING INNOVATIONS, INC.
Active
Other names
Evergreen Community of Johnson County
Organization subpart
No
Provider details
NPI number
Authorized official
MS. K J LANGLAIS (CHIEF EXECUTIVE OFFICER)
(913) 477-8227
Entity
Organization
Contact information
Practice address
11875 S SUNSET DR STE 100, OLATHE, KS 66061-2794
(913) 477-8227
(913) 477-8001
Mailing address
11875 S SUNSET DR STE 100, OLATHE, KS 66061-2794
(913) 477-8227
(913) 477-8001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N046029
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100451870A
—
KS
Enumeration date
01/15/2007
Last updated
04/08/2009
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