EVERGREEN RESIDENTIAL CARE
Nursing at Evergreen Ave, Salt Lake City, UT

License number
Utah 2919
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. MELVIN DARCY FORSMAN
Title: OWNER
Phone: (801) 272-2601
Address
Address
2374 Evergreen Ave, Salt Lake City, UT 84109
National Provider ID: 1487719662
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Evergreen Residential Care Center

2374 Evergreen Ave, Salt Lake City, UT 84109

Industry:
Residential Care Services
Doing business as:
Evergreen Residential Care
Registration:
Jan 1, 1979
Phone:
(801) 272-2601 (Phone)
Administrators:
Melvin Forsman (Owner),Claudette Forsman (Owner),Heidi Starnes (Administrator)
Categories:
Assisted Living Centers & Adult Family Homes

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