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Organization
EVERGREEN CARE, INC.
Active
Organization
EVERGREEN CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JWA-HEE AHN (PRESIDENT)
(562) 402-4299
Entity
Organization
Contact information
Practice address
17215 STUDEBAKER RD, SUITE 250, CERRITOS, CA 90703-2524
(562) 402-4299
(562) 402-4290
Mailing address
17215 STUDEBAKER RD, SUITE 250, CERRITOS, CA 90703-2548
(562) 402-4299
(562) 402-4290
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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