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Evergreen Living #4
Adult Care Home Facility in Leicester, North Carolina
NPI 1609997519

Evergreen Living #4 is an Adult Care Home Facility based in Leicester, NC and is specialized in Adult Care Home. Evergreen Living #4 practices in Leicester, NC. The NPI Number for Evergreen Living #4 is 1609997519 and holds a License No. FCL-011-217 (North Carolina).

The current practice location address for Evergreen Living #4 is 230 Country Time Circle, Leicester, NC and can be reached out via phone at 828-779-5588.

Location: 230 Country Time Circle, Leicester, NC, 28748-2077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609997519
Provider Name
Evergreen Living #4
Credential
Provider Entity Type
Organization
Address
230 Country Time Circle, Leicester, NC, 28748-2077
Phone Number
828-779-5588
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805443 05 NC
institution
Provider Business Practice Location Address Details
Address
230 Country Time Circle
City
Leicester
State
North Carolina
Zip
28748
Phone Number
828-779-5588
Fax Number
person
Provider Business Mailing Address Details
Address
230 Country Time Circle
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-011-217 (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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