Organization
EVERGREEN HEALTH AND REHABILITATION CENTER, LLC
Active
Other names
Evergreen Health and Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA J REITERMAN (CORPORATE CONTROLLER)
(248) 220-5560
Entity
Organization
Contact information
Practice address
19933 W 13 MILE RD, SOUTHFIELD, MI 48076-1024
(248) 203-9000
(248) 203-9001
Mailing address
19933 W 13 MILE RD, SOUTHFIELD, MI 48076-1024
(248) 203-9000
(248) 203-9001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
63-4021
MI
Other
Enumeration date
06/23/2005
Last updated
10/31/2019
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