EL
EVERGREEN LIVING HOME INC.
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
LEICESTER, NC
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1811010143
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameYOUNG LEE
TitleOWNER
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