Organization
EVERGREEN CARE HOMES BLUE BIRD
Active
Other names
Blue Bird Home
Organization subpart
No
Provider details
NPI number
Authorized official
EUNWON BUFORD (PRESIDENT)
(651) 280-0210
Entity
Organization
Contact information
Practice address
6616 SHERIDAN AVE S, RICHFIELD, MN 55423-2050
(612) 861-7442
Mailing address
6616 SHERIDAN AVE S, RICHFIELD, MN 55423-2050
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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