Organization
SL EVERGREEN, LLC
Active
Other names
Evergreen Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE RICHEY LNHA (EXECUTIVE DIRECTOR)
(513) 948-2308
Entity
Organization
Contact information
Practice address
230 W GALBRAITH RD, CINCINNATI, OH 45215-5223
(513) 948-2308
(513) 948-0063
Mailing address
230 W GALBRAITH RD, CINCINNATI, OH 45215-5223
(513) 948-2308
(513) 948-0063
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
OHL01635
OH
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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