Organization
EVERGREEN TERRACE ASSISTED LIVING
Active
Organization
EVERGREEN TERRACE ASSISTED LIVING
Active
Other names
Evergreen Terrace Assisted Living - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS NOBEL (PRESIDENT)
(231) 527-1050
Entity
Organization
Contact information
Practice address
801 FULLER AVE, BIG RAPIDS, MI 49307-2106
(231) 527-1050
Mailing address
801 FULLER AVE, BIG RAPIDS, MI 49307-2106
(231) 527-1050
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1102189
MI
Other
Enumeration date
03/31/2010
Last updated
03/17/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up