EVERGREEN ASSISTED LIVING COMMUNITY LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Roanoke, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EVERGREEN ASSISTED LIVING COMMUNITY LLC NPI is 1780206250. The provider is registered as an organization entity type.
The provider's business location address is:
4222 MOOMAW AVE NW
ROANOKE, VA
ZIP 24017-314
Phone: (540) 613-0757
Fax: (540) 491-9319
The provider's authorized official is Patience Ogwa Odupelu .
The authorized official title is Owner/ Program Director and has the following contact phone number (540) 613-0757.
The enumeration date for this NPI number is 5/7/2020 and was last updated on 5/7/2020.