Evergreen Elm, Inc.
NPI #1215470992 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1215470992
- Entity Type
- Organization
- Organization Name
- Evergreen Elm, Inc.
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Nov 29, 2016
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 50 MAIN ST
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-6516
- Phone
- (814) 362-6853
Authorized Official
- Name
- LORI TRUMBULL
- Title
- FISCAL DIRECTOR
- Phone
- (814) 362-6853
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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