Organization
EVERGREEN LIFE SERVICES OF FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLON KENT CRAFT (EVP/CFO)
(318) 949-5515
Entity
Organization
Contact information
Practice address
2101 STARKEY RD, LARGO, FL 33771-5340
(727) 748-6203
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5515
(318) 949-5555
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
01/27/2021
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