Organization
EVERGREEN NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY PINTER (MEMBER)
(718) 535-3801
Entity
Organization
Contact information
Practice address
1110 WESTVIEW DR, SEYMOUR, TX 76380-3965
(940) 889-3176
(940) 889-8806
Mailing address
805 AVENUE L, SUITE 2, BROOKLYN, NY 11230-5114
(718) 535-3801
(718) 338-1019
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
128590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014747
—
TX
Enumeration date
01/21/2010
Last updated
01/21/2010
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