NPI | 1033517255 |
---|---|
Doing Business As | EVERGREEN HEALTH CARE |
Entity Type | Organization |
Authorized Contact | JESSICA L KOHNEN Executive Director 443-451-4973 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-12-22 |
Last Update Date | 2015-01-05 |