# EVERGREEN HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1215936539
- **Authorized official:** MS. DEBORAH NICOLE BAILEY BS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (724) 854-1839

## Contact information

- **Practice address:** 417 MALLEABLE ST, SHARON, PA 16146-1936
- **Practice address phone:** (724) 347-7344
- **Practice address fax:** (724) 347-7345
- **Mailing address:** 417 MALLEABLE ST, SHARON, PA 16146-1936
- **Mailing address phone:** (724) 347-7344
- **Mailing address fax:** (724) 347-7345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 78111 | OH | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 08/22/2020