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Evergreen Residential Services Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Blairsville, Pennsylvania
NPI 1821716895

Evergreen Residential Services Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Blairsville, PA. Evergreen Residential Services Llc practices in Blairsville, PA. The NPI Number for Evergreen Residential Services Llc is 1821716895 and holds a License No. (Pennsylvania).

The current practice location address for Evergreen Residential Services Llc is 323 E Market St, Blairsville, PA and can be reached out via phone at 814-322-5055.

Location: 323 E Market St, Blairsville, PA, 15717-1122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821716895
Provider Name
Evergreen Residential Services Llc
Credential
Provider Entity Type
Organization
Address
323 E Market St, Blairsville, PA, 15717-1122
Phone Number
814-322-5055
Fax Number
Provider Enumeration Date
08/16/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
323 E Market St
City
Blairsville
State
Pennsylvania
Zip
15717-1122
Phone Number
814-322-5055
Fax Number
person
Provider Business Mailing Address Details
Address
323 E Market St
City
Blairsville
State
Pennsylvania
Zip
15717-1122
Phone Number
814-322-5055
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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