Organization
EVERGREEN THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELYN ENRIQUEZ (PRESIDENT/OWNER)
(786) 333-0844
Entity
Organization
Contact information
Practice address
220 71ST ST, STE 217, MIAMI BEACH, FL 33141-3295
(786) 333-0844
(866) 591-0740
Mailing address
220 71ST ST, STE 217, MIAMI BEACH, FL 33141-3295
(786) 333-0844
(866) 591-0740
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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