Individual provider · Type 1 NPI
Mary Mylene Evernham, ADMINISTRATOR
Assisted Living Facility · Spring Hill, FL
NPI number
1043836968
Active
Practice location
3010 Greynolds Ave
Spring Hill, FL 34608-4221
Fax (352) 556-2947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 171241113 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3 other providers at this address
Other assisted living facility providers in Spring Hill
About NPI 1043836968
Mary Mylene Evernham, ADMINISTRATOR's National Provider Identifier is 1043836968, issued on Jun 17, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Spring Hill, FL. The record was last updated on Jun 17, 2020.