Evergreen Residential Services Llc

LBN: Evergreen Residential Services Llc
Evergreen Residential Services Llc is an health care organization with primary practice located at 323 E Market St , Blairsville PA 15717-1122. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Evergreen Residential Services Llc can be contacted via phone (814) 322-5055, or through Moschgat, Jack via phone (814) 322-5055.

Contact Information

Primary practice address
323 E Market St Blairsville PA 15717-1122
Phone: (814) 322-5055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moschgat, Jack
Phone: (814) 322-5055

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1821716895
LBN Legal business name Evergreen Residential Services Llc
DBA Doing business as
Authorized official Moschgat, Jack
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2022
Last updated Aug 16th, 2022 - about 3 years ago

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.

Request for update

Popular Providers