Organization
ASSISTED LIVING AT EVERGREEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL SPIKER LPN (ADMINISTRATOR)
(724) 222-4227
Entity
Organization
Contact information
Practice address
336 N MAIN ST, WASHINGTON, PA 15301-4326
(724) 222-4227
(724) 222-7946
Mailing address
336 N MAIN ST, WASHINGTON, PA 15301-4326
(724) 222-4227
(724) 222-7946
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
405780
PA
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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