# EVERGREEN HEALTH & REHAB INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043780331
- **Authorized official:** DUMISANI MLUNGWANA OCCUPATIONAL THERAPI (PRESIDENT)
- **Authorized official phone:** (765) 729-3165

## Contact information

- **Practice address:** 205 JADE DR, YORKTOWN, IN 47396-9263
- **Practice address phone:** (765) 729-3165
- **Mailing address:** 205 JADE DR, YORKTOWN, IN 47396-9263
- **Mailing address phone:** (765) 729-3165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2018
- **Last updated:** 11/29/2018