Evergreen Real Estate Dev. Corp

LBN: Evergreen Real Estate Dev. Corp
Evergreen Real Estate Dev. Corp is an health care organization with primary practice located at 16670 Franklin Trl Se 240, Prior Lake MN 55372-2924. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Home Delivered Meals, Suppliers / Emergency Response System Companies. Suppliers / Home Delivered Meals is the primary health care specialty. Evergreen Real Estate Dev. Corp can be contacted via phone (952) 447-2345, or through Mcclenahan, Gregory via phone (952) 447-2345.

Contact Information

Primary practice address
16670 Franklin Trl Se 240 Prior Lake MN 55372-2924
Fax: (952) 447-2344
Website:
Authorized official contact:
Name: Mcclenahan, Gregory

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Delivered Meals 332U00000X Iowa
Suppliers / Emergency Response System Companies 333300000X

Profile Details

NPI number 1568824357
LBN Legal business name Evergreen Real Estate Dev. Corp
DBA Doing business as
Authorized official Mcclenahan, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2016
Last updated Mar 22nd, 2016 - about 9 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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