Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERGREEN DICKINSON, LLC
Active OrganizationEVERGREEN DICKINSON, LLC is a Custodial Care Facility organization located in DICKINSON, North Dakota. NPI 1316143175 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · DICKINSON, ND
Registration Details
- NPI Number
- 1316143175
- Provider Type
- Organization
- NPI Issued
- Jun 26, 2007 (19.153054645028 yrs)
- Last Updated
- Nov 18, 2008
- License
-
8054A (ND)
Practice Information
- Address
-
2143 6TH AVE WDICKINSON, ND, 586012700Browse ND providers · Browse ZIP 58601
- Phone
- 7014836606
- Primary Specialty
-
Custodial Care Facility
311Z00000X
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.