Evergreen Pathways Home LLC
NPI #1902615966 in Grove City, Ohio
Provider Information
- NPI Number
- 1902615966
- Entity Type
- Organization
- Organization Name
- Evergreen Pathways Home LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jan 4, 2025
- Last Updated
- Apr 28, 2025
Practice Location
- Address
- 3500 GROVE CITY RD
- City
- Grove City
- State
- Ohio
- ZIP Code
- 43123-2598
- Phone
- (614) 230-7005
Authorized Official
- Name
- LAILA MOHAMED
- Title
- CEO
- Phone
- (614) 230-7005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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