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Evergreen Living Home Inc.
Adult Care Home Facility in Leicester, North Carolina
NPI 1205956398

Evergreen Living Home Inc. is an Adult Care Home Facility based in Leicester, NC and is specialized in Adult Care Home. Evergreen Living Home Inc. practices in Leicester, NC. The NPI Number for Evergreen Living Home Inc. is 1205956398 and holds a License No. FCL-011-194 (North Carolina).

The current practice location address for Evergreen Living Home Inc. is 102 Country Time Lane, Leicester, NC and can be reached out via phone at 828-779-5588.

Location: 102 Country Time Lane, Leicester, NC, 28748-2077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205956398
Provider Name
Evergreen Living Home Inc.
Credential
Provider Entity Type
Organization
Address
102 Country Time Lane, Leicester, NC, 28748-2077
Phone Number
828-779-5588
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805224 05 NC
institution
Provider Business Practice Location Address Details
Address
102 Country Time Lane
City
Leicester
State
North Carolina
Zip
28748
Phone Number
828-779-5588
Fax Number
person
Provider Business Mailing Address Details
Address
102 Country Time Lane
City
Leicester
State
North Carolina
Zip
28748
Phone Number
828-779-5588
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL-011-194 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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