EVERGREEN PLACE DECATUR, LLC is an assisted living facility in Decatur, IL. The provider is 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. EVERGREEN PLACE DECATUR, LLC NPI is 1003188913. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Place Decatur Supportive Living.
The provider's business location address is:
4825 E EVERGREEN COURT
DECATUR, IL
ZIP 62521
Phone: (217) 864-4300
Fax: (217) 864-4321
The provider's authorized official is Craig L Ater .
The authorized official title is Exec Vp & Cfo and has the following contact phone number (309) 823-7135.
The CLIA number assigned to this NPI record is 14D2194518 - other - supportive living fac with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/8/2012 and was last updated on 2/17/2012.