Evergreens Assisted Living

NPI #1861688087 in Jessup, Maryland

Provider Information

NPI Number: 1861688087
Entity Type: Organization
Organization Name: Evergreens Assisted Living
Primary Specialty: Respite Care
Enumeration Date: Sep 20, 2007
Last Updated: Sep 20, 2007

Practice Location

Address: 8795 MISSION RD
City: Jessup
State: Maryland
ZIP Code: 20794-3943
Phone: (301) 604-1761

Authorized Official

Name: MARIAN GRENWAY
Title: MANAGER
Phone: (301) 604-1761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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