institution
Evergreen Manor Iii, Inc
Mental Illness Community Based Residential Treatment Facility in Sparta, Wisconsin
NPI 1033447776

Evergreen Manor Iii, Inc is a Mental Illness Community Based Residential Treatment Facility based in Sparta, WI. Evergreen Manor Iii, Inc practices in Sparta, WI. The NPI Number for Evergreen Manor Iii, Inc is 1033447776 and holds a License No. 0011807 (Wisconsin).

The current practice location address for Evergreen Manor Iii, Inc is 8429 Idyllview Ave, Sparta, WI and can be reached out via phone at 608-487-9067 and via fax at 608-487-9067.

Location: 8429 Idyllview Ave, Sparta, WI, 54656-3617
institution
Provider Profile Details
NPI Number
1033447776
Provider Name
Evergreen Manor Iii, Inc
Credential
Provider Entity Type
Organization
Address
8429 Idyllview Ave, Sparta, WI, 54656-3617
Phone Number
608-487-9067
Fax Number
608-487-9067
Provider Enumeration Date
11/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8429 Idyllview Ave
City
State
Zip
54656-3617
Phone Number
608-487-9067
Fax Number
608-487-9067
person
Provider Business Mailing Address Details
Address
8429 Idyllview Ave
City
State
Zip
54656-3617
Phone Number
608-487-9067
Fax Number
608-487-9067
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
0011807 (Wisconsin)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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