Maybrook-C Evergreen Opco, LLC
NPI #1992166565 in Harmony, Pennsylvania
Provider Information
- NPI Number
- 1992166565
- Entity Type
- Organization
- Organization Name
- Maybrook-C Evergreen Opco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 10, 2016
- Last Updated
- May 13, 2019
Practice Location
- Address
- 191 EVERGREEN MILL RD
- City
- Harmony
- State
- Pennsylvania
- ZIP Code
- 16037-9141
- Phone
- (724) 452-6970
Authorized Official
- Name
- MR. MARK NORD
- Title
- ADMINISTRATOR
- Phone
- (724) 452-6970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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