Evergreen Assisted Living Llc

NPI 1033401500 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1033401500
Enumeration Date 05/03/2011
Last Updated 05/03/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name VINIL VINIL
Position OWNER/ADMINISTRATOR
Phone (972) 735-9604
Fax (972) 735-9602
Practice Location
6521 CLEARHAVEN CIR
DALLAS TX, 75248-4017, US
Phone (972) 735-9604
Fax (972) 735-9602
Business Location
6521 CLEARHAVEN CIR
DALLAS TX, 75248-4017, US
Phone (972) 735-9604
Fax (972) 735-9602
Toxanomy
Taxonomy Code 253Z00000X
License State
License Number
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According to our database, Evergreen Assisted Living Llc NPI is 1033401500, taxonomy code is 253Z00000X Evergreen Assisted Living Llc physically located at 6521 Clearhaven Cir, Dallas TX, 75248-4017. NPI Number 1033115704 has the healthcare provider type.

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1033401500 NPI number is provided on an as is basis without warranty of any kind. 1033401500 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Assisted Living Llc are for informational purposes only.