Mary Mylene Evernham, ADMINISTRATOR

Assisted Living Facility · Spring Hill, FL

Individual Active NPI

NPI number 1043836968

Practice location

3010 Greynolds Ave
Spring Hill, FL 34608-4221
Phone
(352) 556-2947
Fax
(352) 556-2947

Open in Google Maps

NPI record

NPI
1043836968
Entity type
Individual (Type 1)
Enumeration date
June 17, 2020
Last updated
June 17, 2020
Certified
June 17, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X 171241113 FL

About Mary Evernham

Mary Mylene Evernham, ADMINISTRATOR is a healthcare provider registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 3010 Greynolds Ave, Spring Hill, FL 34608-4221. The NPI number 1043836968 was assigned on June 17, 2020 and the record was last updated on June 17, 2020.

Mary Evernham lists a license in the registry: #171241113 (FL) for Assisted Living Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Mylene Evernham, ADMINISTRATOR?

The NPI number is 1043836968.

What is the phone number of Mary Evernham?

The phone number listed for the practice location is (352) 556-2947.

Where is Mary Evernham located?

3010 Greynolds Ave, Spring Hill, FL 34608-4221.

What is the taxonomy code for Mary Evernham?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Assisted Living Facility providers in Spring Hill

All Assisted Living Facility providers in Spring Hill, FL →