Evergreen Place LLC
Organization Active NPI Adult Care Home Facility · Akeley, MN
NPI 1326445388 · NPPES record last updated Nov 19, 2014
Key facts
- NPI
- 1326445388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 1075244 (MN)
- Legal business name
- EVERGREEN PLACE LLC
- Practice address
- 23299 285TH Ave
Akeley, MN 56433-8020 - Phone
- (218) 652-6702
- Fax
- (218) 652-6710
- NPI assigned
- Nov 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Beth Ann McGarry, LNHA
- Title
- Administrator
- Phone
- (218) 652-6702
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 1075244 | MN | Yes |
| Respite Care | 385H00000X | 1075464-1HCBS | MN |
Addresses
Primary practice location
23299 285TH Ave
Akeley, MN 56433-8020
Mailing address
23299 285TH Ave
Akeley, MN 56433-8020
Phone (218) 652-6702
Other providers in Akeley, MN
All providers in Akeley, MN · Adult Care Home Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.