Evergreen Home Care LLC

NPI #1588316335 in Dacula, Georgia

Provider Information

NPI Number: 1588316335
Entity Type: Organization
Organization Name: Evergreen Home Care LLC
Primary Specialty: Home Health
Enumeration Date: Jan 24, 2022
Last Updated: Jan 24, 2022

Practice Location

Address: 2868 ESTATE VIEW CT
City: Dacula
State: Georgia
ZIP Code: 30019-4013
Phone: (215) 279-0980

Authorized Official

Name: SUNIL SAMUEL
Title: OWNER
Phone: (215) 279-0980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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