Individual
MRS. MARY MYLENE EVERNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
3010 GREYNOLDS AVE, SPRING HILL, FL 34608-4221
(352) 556-2947
(352) 556-2947
Mailing address
3010 GREYNOLDS AVE, SPRING HILL, FL 34608-4221
(352) 556-2947
(352) 556-2947
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
171241113
FL
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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