Organization
EVERGREEN WOODS RETIREMENT, LLC
Active
Other names
Evergreen Woods
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD O THOMPSON JR. (CEO)
(704) 246-1620
Entity
Organization
Contact information
Practice address
88 NOTCH HILL RD, NORTH BRANFORD, CT 06471-1846
(203) 488-8000
Mailing address
3530 TORINGDON WAY, SUITE 204, CHARLOTTE, NC 28277-3431
(704) 246-1620
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
04/26/2017
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