Whalio Doctors

NPI 1285693762

Evergreen Nursing Home, LLC

Organisation Nursing Facility/Intermediate Care Facility Evergreen, AL

Practice location

Address
100 Sanders Dr, Evergreen, AL 36401-3306
Phone
(251) 578-3783
Fax
(251) 578-3786
Mailing address
501 Whetstone St, Monroeville, AL 36460-2615

Authorised official

Name
Noel Dunnam
Title
Cfo
Phone
(251) 743-7137

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 12509 (AL)

Registry record

NPI
1285693762
Entity type
Organization
NPI issued
22 Mar 2006
Record last updated
6 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.