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NPI Provider: 1003812181
Contact Name: Howell Diane
Position: Administrator
Phone: (248) 203-9000
Evergreen Health And Living Center Information:
Evergreen Health And Living Center organization have npi 1003812181, taxonomy code is 314000000X with license number is 63-4021 in . This Business address located in 19933 W 13 Mile Rd, Southfield, MI 48076 Michigan. Get directions of Evergreen Health And Living Center.
Practice Location
Address: 19933 W 13 Mile Rd, Southfield, MI 48076
Phone: (248) 203-9000
Business Location
Address: 19933 W 13 Mile Rd, Southfield, MI 48076
Phone: (248) 203-9000
Fax: (248) 203-9001
Taxonomy
Taxonomy Code: 314000000X
License Number: 63-4021
License Number of State: MI
Primary Taxonomy Switch: Y
Enumeration Date: 6/23/2005
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