Organization
EVERGREEN OPERATIONS, LLC
Active
Other names
Life Care Center of Evergreen
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
2987 BERGEN PEAK DR, EVERGREEN, CO 80439-2205
(303) 674-4500
(303) 674-8436
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0139
CO
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05651328
—
CO
Enumeration date
10/04/2006
Last updated
09/15/2021
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