Evergreen Center, Inc.

NPI 1093922924 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1093922924
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT F ROBERT
Position EXECUTIVE DIRECTOR
Phone (508) 478-2631
Fax
Practice Location
345 FORTUNE BLVD
MILFORD MA, 01757-1723, US
Phone (508) 478-2631
Fax
Business Location
345 FORTUNE BLVD
MILFORD MA, 01757-1723, US
Phone (508) 478-2631
Fax
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Evergreen Center, Inc. NPI is 1093922924, taxonomy code is 320600000X Evergreen Center, Inc. physically located at 345 Fortune Blvd, Milford MA, 01757-1723. NPI Number 1033115704 has the healthcare provider type.

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1093922924 NPI number is provided on an as is basis without warranty of any kind. 1093922924 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Center, Inc. are for informational purposes only.