Organization
EHS, INC.
Active
Parent organization
EHS, INC.
Other names
Evergreen Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
EHS, INC.
Authorized official
JESSICA ANNE STACK (ASSOCIATE CFO)
(716) 847-0212
Entity
Organization
Contact information
Practice address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-2441
Mailing address
206 SOUTH ELMWOOD AVE, ATTN JESSICA STACK, BUFFALO, NY 14201
(716) 847-2441
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995357
—
NY
Enumeration date
09/17/2019
Last updated
09/17/2019
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