NPI 1568824357

Evergreen Real Estate Dev. Corp

Organisation Home Delivered Meals Prior Lake, MN

Practice location

Address: 16670 Franklin Trl SE 240, Prior Lake, MN 55372-2924
Phone: (952) 447-2345
Fax: (952) 447-2344

Authorised official

Name: Gregory McClenahan
Title: President
Phone: (952) 447-2345

Registered specialties (2)

Home Delivered Meals Primary

Suppliers Taxonomy 332U00000X

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Emergency Response System Companies

Suppliers Taxonomy 333300000X

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Registry record

NPI: 1568824357
Entity type: Organization
NPI issued: 22 Mar 2016
Record last updated: 22 Mar 2016

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.