DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN MANOR III, INC

Active Organization

EVERGREEN MANOR III, INC is a Psychiatric Residential Treatment Facility organization located in SPARTA, Wisconsin. NPI 1033447776 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Residential Treatment Facility · SPARTA, WI

Registration Details

NPI Number
1033447776
Provider Type
Organization
NPI Issued
Nov 18, 2009 (16.766946675478 yrs)
Last Updated
Nov 18, 2009
License
0011807 (WI)

Practice Information

Address
8429 IDYLLVIEW AVE
SPARTA, WI, 546563617
Browse WI providers · Browse ZIP 54656
Phone
6084879067
Fax
6084879067

Other Psychiatric Residential Treatment Facility Organizations in SPARTA, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.