Evergreen National Resources LLC

NPI #1932590353 in Venice, Florida

Provider Information

NPI Number
1932590353
Entity Type
Organization
Organization Name
Evergreen National Resources LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Feb 6, 2015
Last Updated
Feb 6, 2015

Practice Location

Address
621 LIVE OAK ST
City
Venice
State
Florida
ZIP Code
34285-4732
Phone
(941) 484-9102

Authorized Official

Name
KASEY MARIE NELSON
Title
CEO
Phone
(941) 484-9102

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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