Evergreen Care Center LLC

NPI #1316939861 in Shawano, Wisconsin

Provider Information

NPI Number
1316939861
Entity Type
Organization
Organization Name
Evergreen Care Center LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 19, 2005
Last Updated
May 27, 2015

Practice Location

Address
1250 S EVERGREEN ST
ZIP Code
54166-3514
Phone
(715) 526-3107

Authorized Official

Name
ROBERT M PARKINS
Title
CFO
Phone
(920) 364-9754

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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