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THE EVERGREENS, INC.

Adult Care Home

Greensboro, North Carolina

Provider NPI: 1366465403

Organization Information:
Organization Name:  THE EVERGREENS, INC.


Practice Location:
4007 W WENDOVER AVE  GREENSBORO, NC 27407 US
Tel: 336-292-8620  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCNH0073
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
NCNH0073

Other Provider Identifiers:

IssuerNumberStateType
3405016NC05
3406162NC05
PARTNERS INS PROVIDER NO40251NC01
BCBS OF NC PROVIDER NO00829NC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1



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