Evergreen Pines Inc

LBN: Evergreen Pines Inc
Evergreen Pines Inc is an health care organization with primary practice located at 343 E Cumberland St , Berlin WI 54923-1206. 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 Pines Inc can be contacted via phone (920) 290-3305, or through Haywood, Keri M via phone (920) 229-3664.

Contact Information

Primary practice address
343 E Cumberland St Berlin WI 54923-1206
Phone: (920) 290-3305
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haywood, Keri M
Phone: (920) 229-3664

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 14846 Wisconsin

Profile Details

NPI number 1851721344
LBN Legal business name Evergreen Pines Inc
DBA Doing business as
Authorized official Haywood, Keri M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2013
Last updated Nov 19th, 2013 - about 12 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.

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