Organization
EVERGREEN REAL ESTATE DEV. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MCCLENAHAN (PRESIDENT)
(952) 447-2345
Entity
Organization
Contact information
Practice address
16670 FRANKLIN TRL SE, 240, PRIOR LAKE, MN 55372-2924
(952) 447-2345
(952) 447-2344
Mailing address
16670 FRANKLIN TRL SE, 240, PRIOR LAKE, MN 55372-2924
(952) 447-2345
(952) 447-2344
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
IA
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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