NPI 1477806388

Evergreen Independant Living, LLC

Organisation Developmentally Disabled Services Day Training Agency Great Falls, MT

Practice location

Address: 3805 7th St NE Trlr 74, Great Falls, MT 59404-1152
Phone: (406) 231-6293
Mailing address: PO Box 249, Black Eagle, MT 59414-0249

Authorised official

Name: Jody Hanks
Title: Owner/Ceo
Phone: (406) 231-6293

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Montana →

Registry record

NPI: 1477806388
Entity type: Organization
NPI issued: 17 Oct 2012
Record last updated: 17 Oct 2012

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.