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Evergreen Retirement Residence
Assisted Living Facility in Burbank, California
NPI 1861653370

Evergreen Retirement Residence is an Assisted Living Facility based in Burbank, CA. Evergreen Retirement Residence practices in Burbank, CA. The NPI Number for Evergreen Retirement Residence is 1861653370 and holds a License No. 197609022 (California).

The current practice location address for Evergreen Retirement Residence is 225 N Evergreen St, Burbank, CA and can be reached out via phone at 818-843-8268.

Location: 225 N Evergreen St, Burbank, CA, 91505-3925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861653370
Provider Name
Evergreen Retirement Residence
Credential
Provider Entity Type
Organization
Address
225 N Evergreen St, Burbank, CA, 91505-3925
Phone Number
818-843-8268
Fax Number
Provider Enumeration Date
06/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
191221567 01 CA DEPARTMENT OF SOCIAL SERVICES
institution
Provider Business Practice Location Address Details
Address
225 N Evergreen St
City
Burbank
State
California
Zip
91505
Phone Number
818-843-8268
Fax Number
person
Provider Business Mailing Address Details
Address
225 N Evergreen St
City
Burbank
State
California
Zip
91505
Phone Number
818-843-8268
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
197609022 (California)
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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