- Facility Name
- EVERGREEN HAVEN LLC
- Type / Classification
- Assisted Living Facility
- Address
- 445 E 10TH ST, BAXTER SPRINGS, KS 66713
- Phone Number
- (620) 304-2108
- NPI Number
- 1104616002
- Authorized Official
- LARRY HIGGINBOTHAM (Owner)
- Enumeration Date
- 2025-05-12