Evergreen Acquisition Operator, LLC
NPI #1700634094 in Stafford Springs, Connecticut
Provider Information
- NPI Number
- 1700634094
- Entity Type
- Organization
- Organization Name
- Evergreen Acquisition Operator, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 10, 2024
- Last Updated
- May 10, 2024
Practice Location
- Address
- 205 CHESTNUT HILL RD
- City
- Stafford Springs
- State
- Connecticut
- ZIP Code
- 06076-4005
- Phone
- (516) 705-4800
Authorized Official
- Name
- MR. MARVIN J OSTREICHER
- Title
- MANAGING MEMBER
- Phone
- (516) 705-4801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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