Evergreen Recovery Llc

LBN: Evergreen Recovery Llc
Evergreen Recovery Llc is an health care organization with primary practice located at 12 Randall St , Portland ME 04103-5116. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Evergreen Recovery Llc can be contacted via phone (781) 469-6505, or through Terranova, Amanda via phone (617) 291-9224.

Contact Information

Primary practice address
12 Randall St Portland ME 04103-5116
Phone: (781) 469-6505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Terranova, Amanda
Phone: (617) 291-9224

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1245028604
LBN Legal business name Evergreen Recovery Llc
DBA Doing business as
Authorized official Terranova, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2025
Last updated Apr 28th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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