Johnson Evergreen Corporation
NPI #1053427609 in Stafford Springs, Connecticut
Provider Information
- NPI Number
- 1053427609
- Entity Type
- Organization
- Organization Name
- Johnson Evergreen Corporation
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 23, 2006
- Last Updated
- May 14, 2015
Practice Location
- Address
- 205 CHESTNUT HILL RD
- City
- Stafford Springs
- State
- Connecticut
- ZIP Code
- 06076-4005
- Phone
- (860) 684-8714
Authorized Official
- Name
- MRS. ANNA ROMANOWSKI
- Title
- DIRECTOR OF REIMBURSEMENT
- Phone
- (860) 684-8714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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