Evergreen Senior Care Service LLC
NPI #1992502595 in Kent, Washington
Provider Information
- NPI Number
- 1992502595
- Entity Type
- Organization
- Organization Name
- Evergreen Senior Care Service LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 1, 2025
- Last Updated
- Mar 1, 2025
Practice Location
- Address
- 9701 S 200TH ST
- City
- Kent
- State
- Washington
- ZIP Code
- 98031-1442
- Phone
- (253) 856-2790
Authorized Official
- Name
- TAWEKE S GEBRESELASSIE
- Title
- OWNER
- Phone
- (253) 856-2790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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