| NPI | 1669668604 |
|---|---|
| Doing Business As | EVERGREEN ARKANSAS WAIVER SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOHN R TAYLOR President 318-949-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2008-06-16 |