# EVERGREEN HOME HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003275223
- **Authorized official:** ANTHONY I PUTMAN (PRESIDENT)
- **Authorized official phone:** (313) 585-4043

## Contact information

- **Practice address:** 29555 LAUREL WOODS DR, SUITE 101, SOUTHFIELD, MI 48034-4614
- **Practice address phone:** (313) 585-4043
- **Mailing address:** 29555 LAUREL WOODS DR, SUITE 101, SOUTHFIELD, MI 48034-4614
- **Mailing address phone:** (313) 585-4043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MI | Yes |

## Other

- **Enumeration date:** 02/16/2016
- **Last updated:** 02/16/2016