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Evergreen Nursing Home, Llc
Nursing Facility/Intermediate Care Facility in Evergreen, Alabama
NPI 1285693762

Evergreen Nursing Home, Llc is a Nursing Facility/Intermediate Care Facility based in Monroeville, AL. Evergreen Nursing Home, Llc practices in Evergreen, AL. The NPI Number for Evergreen Nursing Home, Llc is 1285693762 and holds a License No. 12509 (Alabama).

The current practice location address for Evergreen Nursing Home, Llc is 100 Sanders Dr, Evergreen, AL and can be reached out via phone at 251-578-3783 and via fax at 251-578-3786.

Location: 100 Sanders Dr, Evergreen, AL, 36460-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285693762
Provider Name
Evergreen Nursing Home, Llc
Credential
Provider Entity Type
Organization
Address
100 Sanders Dr, Evergreen, AL, 36460-2615
Phone Number
251-578-3783
Fax Number
251-578-3786
Provider Enumeration Date
03/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4750890S 05 AL
institution
Provider Business Practice Location Address Details
Address
100 Sanders Dr
City
Evergreen
State
Alabama
Zip
36401-3306
Phone Number
251-578-3783
Fax Number
251-578-3786
person
Provider Business Mailing Address Details
Address
100 Sanders Dr
City
Evergreen
State
Alabama
Zip
36401-3306
Phone Number
251-578-3783
Fax Number
251-578-3786
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
12509 (Alabama)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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