- Facility Name
- EVERGREEN PLACE LLC
- Type / Classification
- Assisted Living Facility
- Address
- 3481 W 3100 S, WEST VALLEY CITY, UT 84119
- Phone Number
- (801) 921-0070
- NPI Number
- 1487164505
- Authorized Official
- JORGE GONZALEZ VILLARRUEL (Owner)
- Enumeration Date
- 2017-10-03