Evergreen Residential Care
Evergreen Residential Care is an Assisted Living Facility in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
2374 Evergreen AveSalt Lake City, UT 84109-3006
Phone: (801) 272-2601
Fax: (801) 278-3697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 2919 (UT) |
|---|
Record details
| NPI number | 1487719662 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melvin Forsman — Owner · (801) 272-2601 |
| NPI enumerated | December 27, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2374 Evergreen Ave, Salt Lake City, UT 84109-3006 |
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