Evergreen Manor, Inc
Evergreen Manor, Inc is a Mental Illness Community Based Residential Treatment Facility in Sparta, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.
- Licensed in
- WI
- In the registry since
- 2009
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8429 Idyllview AveSparta, WI 54656-3617
Phone: (608) 487-9067
Fax: (608) 487-9067
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 0010512 (WI) |
|---|
Record details
| NPI number | 1386972024 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larenda Rosin — President · (608) 487-9067 |
| NPI enumerated | November 18, 2009 |
| Last updated in NPPES | November 18, 2009 |
| Mailing address | 8429 Idyllview Ave, Sparta, WI 54656-3617 |
Other providers in Sparta
-
Evergreen Manor II
8429 Idyllview Ave, Sparta, WI 54656-3617 · (608) 487-9067
-
Evergreen Manor III, Inc
8429 Idyllview Ave, Sparta, WI 54656-3617 · (608) 487-9067
-
Rbi Caring Hearts LLC
402 S Black River St Ste 105, Sparta, WI 54656-2043 · (608) 269-0386