# EVERGREEN HEALTH CARE SERVICES

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

## Provider details

- **NPI number:** 1053067397
- **Authorized official:** ANNA VARDANYAN (CEO,CFO,SECRETARY)
- **Authorized official phone:** (818) 304-8020

## Contact information

- **Practice address:** 12444 VICTORY BLVD STE 411-G, NORTH HOLLYWOOD, CA 91606-3199
- **Practice address phone:** (818) 304-8020
- **Practice address fax:** (818) 855-8497
- **Mailing address:** 12444 VICTORY BLVD STE 411-G, NORTH HOLLYWOOD, CA 91606-3199
- **Mailing address phone:** (818) 304-8020
- **Mailing address fax:** (818) 855-8497

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 02/24/2022