Evergreen Home Assistance LLC
NPI #1386480515 in West Mifflin, Pennsylvania
Provider Information
- NPI Number
- 1386480515
- Entity Type
- Organization
- Organization Name
- Evergreen Home Assistance LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jul 8, 2024
- Last Updated
- Jul 10, 2024
Practice Location
- Address
- 4302 GREENSPRINGS AVE
- City
- West Mifflin
- State
- Pennsylvania
- ZIP Code
- 15122-1765
- Phone
- (631) 636-8767
Authorized Official
- Name
- THEOPHILIA CHINELO AGUSIBE-AKAMOBI, RN- BSN
- Title
- OWNER /CEO
- Phone
- (631) 636-8767
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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