EVERGREEN MANOR III, INC is a community based residential treatment facility mental illness in Sparta, WI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EVERGREEN MANOR III, INC NPI is 1033447776. The provider is registered as an organization entity type.
The provider's business location address is:
8429 IDYLLVIEW AVE
SPARTA, WI
ZIP 54656-617
Phone: (608) 487-9067
Fax: (608) 487-9067
The provider's authorized official is Larenda L Rosin .
The authorized official title is President and has the following contact phone number (608) 487-9067.
The enumeration date for this NPI number is 11/18/2009 and was last updated on 11/18/2009.