Organization
EVERGREEN LIVING HOME #9
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LEA (ADMINISTRATOR)
(828) 683-1711
Entity
Organization
Contact information
Practice address
235 COUNTRY TIME CIRCLE, LEICESTER, NC 28748
(828) 683-1707
Mailing address
PO BOX 1808, LEICESTER, NC 28748-1808
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-011-247
NC
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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