Organization
EVERGREEN ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAHID SHIBLI (MANAGER ADMIN)
(732) 207-5893
Entity
Organization
Contact information
Practice address
270 HIGHLAND RD, SOUTH ORANGE, NJ 07079-1514
(732) 207-5893
Mailing address
270 HIGHLAND RD, SOUTH ORANGE, NJ 07079-1514
(732) 207-5893
(732) 777-1449
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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