Evergreen Woods Retirement, LLC
Skilled Nursing Facility in North Branford, CT. Organization (NPI-2).
NPI number1508317223
StatusActive
Last updated in NPPESApr 26, 2017
Details
- NPI
- 1508317223
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Woods Retirement, LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2016
- Last updated
- Apr 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Evergreen Woods (Doing Business As)
Practice location
88 Notch Hill RdNorth Branford, CT 06471-1846
Phone 203-488-8000
Mailing address
3530 Toringdon WaySuite 204
Charlotte, NC 28277-3431
Phone 704-246-1620
Authorized official
Donald O Thompson
Ceo
7042461620
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