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Evergreen Place Decatur, Llc
Assisted Living Facility in Decatur, Illinois
NPI 1003188913

Evergreen Place Decatur, Llc is an Assisted Living Facility based in Bloomington, IL. Evergreen Place Decatur, Llc practices in Decatur, IL. The NPI Number for Evergreen Place Decatur, Llc is 1003188913 and holds a License No. (Illinois).

The current practice location address for Evergreen Place Decatur, Llc is 4825 E Evergreen Court, Decatur, IL and can be reached out via phone at 217-864-4300 and via fax at 217-864-4321.

Location: 4825 E Evergreen Court, Decatur, IL, 61701-3967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003188913
Provider Name
Evergreen Place Decatur, Llc
Credential
Provider Entity Type
Organization
Address
4825 E Evergreen Court, Decatur, IL, 61701-3967
Phone Number
217-864-4300
Fax Number
217-864-4321
Provider Enumeration Date
02/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4825 E Evergreen Court
City
Decatur
State
Illinois
Zip
62521
Phone Number
217-864-4300
Fax Number
217-864-4321
person
Provider Business Mailing Address Details
Address
4825 E Evergreen Court
City
Decatur
State
Illinois
Zip
62521
Phone Number
217-864-4300
Fax Number
217-864-4321
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(Illinois)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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