Evergreen Woods Retirement, LLC
NPI #1508317223 in North Branford, Connecticut
Provider Information
- NPI Number
- 1508317223
- Entity Type
- Organization
- Organization Name
- Evergreen Woods Retirement, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 18, 2016
- Last Updated
- Apr 26, 2017
Practice Location
- Address
- 88 NOTCH HILL RD
- City
- North Branford
- State
- Connecticut
- ZIP Code
- 06471-1846
- Phone
- (203) 488-8000
Authorized Official
- Name
- MR. DONALD O THOMPSON JR.
- Title
- CEO
- Phone
- (704) 246-1620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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