- Facility Name
- EVERGREEN RESIDENTIAL CARE
- Type / Classification
- Assisted Living Facility
- Address
- 2374 EVERGREEN AVE, SALT LAKE CITY, UT 84109
- Phone Number
- (801) 272-2601
- NPI Number
- 1487719662
- Authorized Official
- MELVIN FORSMAN (owner)
- Enumeration Date
- 2006-12-27