Evergreen Place
Name
Evergreen Place
Director
Brian H Son, D.O.
Expiration Date
Phone Number
(585) 637-3140
UID (Facility ID - Site ID)
X669-0000
Site ID
0000
City
Brockport
CLIA Number
33D2151479
Street Address
90 West Ave
State
NY
Zip Code
14420
County
Monroe
Country
United States
Primary Contact
Julie Westcott
Contact Phone Number
(585) 637-3140
Certificate Type
WAIVER
Tests
Glucose
Facility ID
X669