| NPI | 1548803497 |
|---|---|
| Doing Business As | EVERGREEN HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEFFREY HOEHN Managing Member 414-962-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |