Evergreen Health Care Center, LLC

NPI #1811208077 in Scranton, Pennsylvania

Provider Information

NPI Number
1811208077
Entity Type
Organization
Organization Name
Evergreen Health Care Center, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 23, 2010
Last Updated
Sep 7, 2010

Practice Location

Address
701 CLAY AVE
ZIP Code
18510-1759
Phone
(570) 344-2800

Authorized Official

Name
MR. MICHAEL P KELLY
Title
PRESIDENT
Phone
(570) 969-2188

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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