Evergreen Adult Care LLC
NPI #1245881556 in South Orange, New Jersey
Provider Information
- NPI Number
- 1245881556
- Entity Type
- Organization
- Organization Name
- Evergreen Adult Care LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Sep 27, 2019
- Last Updated
- Sep 27, 2019
Practice Location
- Address
- 270 HIGHLAND RD
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-1514
- Phone
- (732) 207-5893
Authorized Official
- Name
- WAHID SHIBLI
- Title
- MANAGER ADMIN
- Phone
- (732) 207-5893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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