institution
Evergreen Place
Assisted Living Facility in Ellendale, North Dakota
NPI 1538287263

Evergreen Place is an Assisted Living Facility based in Ellendale, ND. Evergreen Place practices in Ellendale, ND. The NPI Number for Evergreen Place is 1538287263 and holds a License No. 30729 (North Dakota).

The current practice location address for Evergreen Place is 241 Main Street, Ellendale, ND and can be reached out via phone at 701-349-4550 and via fax at 701-349-4656.

Location: 241 Main Street, Ellendale, ND, 58436-7341
institution
Provider Profile Details
NPI Number
1538287263
Provider Name
Evergreen Place
Credential
Provider Entity Type
Organization
Address
241 Main Street, Ellendale, ND, 58436-7341
Phone Number
701-349-4550
Fax Number
701-349-4656
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30729 05 ND
institution
Provider Business Practice Location Address Details
Address
241 Main Street
City
State
Zip
58436
Phone Number
701-349-4550
Fax Number
701-349-4656
person
Provider Business Mailing Address Details
Address
241 Main Street
City
State
Zip
58436
Phone Number
701-349-4550
Fax Number
701-349-4656
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
30729 (North Dakota)
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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