Evergreen Valley Nursing Home
NPI #1477540193 in Plattsburgh, New York
Provider Information
- NPI Number
- 1477540193
- Entity Type
- Organization
- Organization Name
- Evergreen Valley Nursing Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Sep 21, 2015
Practice Location
- Address
- 8 BUSHEY BLVD.
- City
- Plattsburgh
- State
- New York
- ZIP Code
- 12901-3785
- Phone
- (518) 563-3261
Authorized Official
- Name
- MR. EPHRAIM ZAGELBAUM
- Title
- CEO
- Phone
- (914) 597-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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