Organization
EVERGREEN ADULT MEDICAL DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JADEN JOON KIM (DIRECTOR)
(301) 527-1100
Entity
Organization
Contact information
Practice address
9290 GAITHER RD, GAITHERSBURG, MD 20877-1420
(301) 527-1100
(301) 658-3240
Mailing address
9290 GAITHER RD, GAITHERSBURG, MD 20877-1420
(301) 527-1100
(301) 658-3240
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
15011A
MD
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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