OrganizationActive
Evergreen Manor, Inc
NPI 1356401202 · Skilled Nursing Facility · Saco, ME
Provider details
- NPI number
- 1356401202
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Glen Cyr, Vp of Finance(207) 786-3554
- License
- 36405 (ME)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
328 North St
Saco, ME 04072-1814
Phone: (207) 282-5161
Fax: (207) 282-5163
Approximate (ZIP-level) locationGet directions
Mailing address
179 Lisbon St
Lewiston, ME 04240-7248
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.