Evergreen Place Decatur, LLC
Evergreen Place Decatur, LLC is an Assisted Living Facility in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4825 E Evergreen CtDecatur, IL 62521
Phone: (217) 864-4300
Fax: (217) 864-4321
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
| Assisted Living Facility (primary) | Taxonomy 310400000X (IL) |
|---|
Record details
| NPI number | 1003188913 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Craig Ater — Exec Vp & Cfo · (309) 823-7135 |
| Other names | Evergreen Place Decatur Supportive Living |
| NPI enumerated | February 8, 2012 |
| Last updated in NPPES | February 17, 2012 |
| Mailing address | 115 W Jefferson St Ste 401, Bloomington, IL 61701-3967 |
Other providers in Decatur
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Eagle Ridge of Decatur, LP
875 W McKinley Ave, Decatur, IL 62526-3287 · (217) 872-1282
-
Imboden Creek Gardens LLC
185 W Imboden Dr, Decatur, IL 62521-5251 · (217) 233-1425