Evergreen Retirement Community, Inc.

NPI #1588097810 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1588097810
Entity Type: Organization
Organization Name: Evergreen Retirement Community, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: EVERGREEN RETIREMENT COMMUNITY, INC.
Primary Specialty: Home Health
Enumeration Date: Aug 9, 2013
Last Updated: Jul 29, 2022

Practice Location

Address: 1125 N WESTFIELD ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-3216
Phone: (920) 237-6205

Authorized Official

Name: MRS. PEGGY BELLIN, RN
Title: ADMINISTRATOR
Phone: (920) 237-2140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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