Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSL EVERGREEN LLC
Assisted Living Facility
Cincinnati, Ohio
Provider NPI: 1710987862
Organization Information:Organization Name: SL EVERGREEN LLC
Practice Location:
230 W GALBRAITH RD CINCINNATI, OH 45215 US
Tel: 513-948-2308 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
230 W GALBRAITH RD CINCINNATI, OH 45215 US
Tel: 513-948-2308 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | OH | 2852 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CITY LICENSURE | 2852 | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin