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Organization

EVERGREEN HOME HEALTH, INC.

Active
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Organization

EVERGREEN HOME HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LYDIA Y AHN RN, PHN (ADMINISTRATOR/CEO)
(562) 860-9444
Entity
Organization

Contact information

Practice address
17215 STUDEBAKER RD, STE 270, CERRITOS, CA 90703-2522
(562) 860-9444
(562) 860-8334
Mailing address
17215 STUDEBAKER RD, STE 270, CERRITOS, CA 90703-2522
(562) 860-9444
(562) 860-8334

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA

Other

Enumeration date
06/13/2005
Last updated
10/08/2007
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