- Facility Name
- EVERGREEN PLACE LLC
- Type / Classification
- Assisted Living Facility
- Address
- 163 E 7800 S, MIDVALE, UT 84047
- Phone Number
- (801) 921-0070
- NPI Number
- 1215456777
- Authorized Official
- JORGE GONZALEZ VILLARRUEL (Owner)
- Enumeration Date
- 2017-09-15