NPI 1538287263
Evergreen Place
Practice location
- Address
- 241 Main Street, Ellendale, ND 58436
- Phone
- (701) 349-4550
- Fax
- (701) 349-4656
- Mailing address
- 201 8th St N, Ellendale, ND 58436-7341
Authorised official
- Name
- Tony Hanson
- Title
- Administrator-Ceo
- Phone
- (701) 349-3312
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1538287263
- Entity type
- Organization
- NPI issued
- 27 Mar 2007
- Record last updated
- 22 Aug 2020
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.