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Organization
EVERGREEN HOME CARE LLC
Active
Organization
EVERGREEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVA LAL (MANAGING PARTNER)
(510) 557-9819
Entity
Organization
Contact information
Practice address
10018 BALTISAN LN, STOCKTON, CA 95219-7022
(510) 557-9819
Mailing address
10940 TRINITY PKWY STE C340, STOCKTON, CA 95219-7296
(510) 557-9819
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/22/2023
Last updated
08/21/2026
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