Organization
EVERGREEN AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAUTAM SHAH (OWNER)
(603) 320-0732
Entity
Organization
Contact information
Practice address
5 KING ARTHUR RD, SHREWSBURY, MA 01545-7750
(603) 320-0732
Mailing address
5 KING ARTHUR RD, SHREWSBURY, MA 01545-7750
(603) 320-0732
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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