NPI 1821897992

Evergreen Living LLC

Organisation Adult Care Home Facility Baxter Springs, KS

Practice location

Address: 445 E 10th St, Baxter Springs, KS 66713-1614
Phone: (620) 856-2756
Mailing address: PO Box 92, Racine, MO 64858-0092

Authorised official

Name: Larry Robert Higginbotham
Title: Owner
Phone: (417) 850-3063

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1821897992
Entity type: Organization
NPI issued: 11 Mar 2025
Record last updated: 11 Mar 2025

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.