Evergreene Properties of North Carolina,llc

NPI #1518976513 in Forrest City, Arkansas

Provider Information

NPI Number
1518976513
Entity Type
Organization
Organization Name
Evergreene Properties of North Carolina,llc
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 7, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
603 KITTLE ROAD
ZIP Code
72335-1033
Phone
(870) 633-7630

Authorized Official

Name
MR. DANIEL C GREENE
Title
MANAGER
Phone
(336) 668-3896

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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