MRS. Mary Mylene Evernham, ADMINISTRATOR

NPI #1043836968 in Spring Hill, Florida

Provider Information

NPI Number
1043836968
Entity Type
Individual
Name
MRS. Mary Mylene Evernham, ADMINISTRATOR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Credential
ADMINISTRATOR
Enumeration Date
Jun 17, 2020
Last Updated
Jun 17, 2020

Practice Location

Address
3010 GREYNOLDS AVE
State
Florida
ZIP Code
34608-4221
Phone
(352) 556-2947

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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