| Evergreen Health And Life | |
|
100 Middletown Pkwy Suite 202 Pmb# 40 Middletown MD 21769 | |
| (240) 934-0090 | |
| (240) 348-8621 |
| Full Name | Evergreen Health And Life |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Middletown Pkwy, Middletown, Maryland |
| Authorized Official Name and Position | Lindsay Brooke Bitto (FOUNDER, CEO, NP) |
| Authorized Official Contact | 2409340090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Health And Life 100 Middletown Pkwy Suite 202 Pmb# 40 Middletown MD 21769 Ph: () - | Evergreen Health And Life 100 Middletown Pkwy Suite 202 Pmb# 40 Middletown MD 21769 Ph: (240) 934-0090 |
| NPI Number | 1659198091 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659198091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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