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Evergreen Congregate, Llc
Physical Disabilities Residential Treatment Facility in Costa Mesa, California
NPI 1558015248

Evergreen Congregate, Llc is a Physical Disabilities Residential Treatment Facility based in Ladera Ranch, CA. Evergreen Congregate, Llc practices in Costa Mesa, CA. The NPI Number for Evergreen Congregate, Llc is 1558015248 and holds a License No. (California).

The current practice location address for Evergreen Congregate, Llc is 823 Towne St, Costa Mesa, CA and can be reached out via phone at 949-397-0658.

Location: 823 Towne St, Costa Mesa, CA, 92694-0608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558015248
Provider Name
Evergreen Congregate, Llc
Credential
Provider Entity Type
Organization
Address
823 Towne St, Costa Mesa, CA, 92694-0608
Phone Number
949-397-0658
Fax Number
Provider Enumeration Date
02/10/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
823 Towne St
City
Costa Mesa
State
California
Zip
92627-3509
Phone Number
949-397-0658
Fax Number
person
Provider Business Mailing Address Details
Address
823 Towne St
City
Costa Mesa
State
California
Zip
92627-3509
Phone Number
949-397-0658
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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