Organization
EVERGREEN GROUP HOME, LLC
Active
Other names
Evergreen Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY D BOGGS (PRESIDENT)
(417) 722-4416
Entity
Organization
Contact information
Practice address
27 HOPPER TRL, URBANA, MO 65767-9234
(417) 722-4416
(417) 722-4417
Mailing address
27 HOPPER TRL, URBANA, MO 65767-9234
(417) 722-4416
(417) 722-4417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91438201670000
MO
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us