NPI 1316707565

Evergreen Healthcare Solutions, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Westminster, MD

Practice location

Address: 257 E Main St Unit 2-2a, Westminster, MD 21157-5523
Phone: (301) 806-1796
Fax: (301) 459-3000
Mailing address: 12815 Willow Marsh Ln # 410, Bowie, MD 20720-4691

Authorised official

Name: Gasby Ayoh
Title: Chief Executive Officer
Phone: (301) 806-1796

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1316707565
Entity type: Organization
NPI issued: 22 Mar 2024
Record last updated: 16 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.