EVERGREEN PLACE BEARDSTOWN LLC is an assisted living facility in Beardstown, 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 BEARDSTOWN LLC NPI is 1063974418. The provider is registered as an organization entity type.
The provider's business location address is:
8570 SAINT LUKES DR
BEARDSTOWN, IL
ZIP 62618-200
Phone: (217) 323-1860
The provider's authorized official is David M Underwood .
The authorized official title is Exec Vp Finance & Cfo and has the following contact phone number (309) 823-7135.
The CLIA number assigned to this NPI record is 14D2194622 - other - supportive living fac with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/4/2019 and was last updated on 4/4/2019.