Evergreen Team Holdings LLC - Supporting Bright Futures DBA
NPI #1811795370 in Lower Lake, California
Provider Information
- NPI Number
- 1811795370
- Entity Type
- Organization
- Organization Name
- Evergreen Team Holdings LLC - Supporting Bright Futures DBA
- Primary Specialty
- Case Management
- Enumeration Date
- Mar 3, 2025
- Last Updated
- Jan 27, 2026
Practice Location
- Address
- 16745 BIG BEAR RD
- City
- Lower Lake
- State
- California
- ZIP Code
- 95457-9712
- Phone
- (707) 266-9150
Authorized Official
- Name
- ANGELIQUE COLE
- Title
- OWNER
- Phone
- (707) 206-5204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
| Lodging |
| Case Management |
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