# EVERGREEN CARE, INC.

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

## Provider details

- **NPI number:** 1144591116
- **Authorized official:** MR. JOHN JWA-HEE AHN (PRESIDENT)
- **Authorized official phone:** (562) 402-4299

## Contact information

- **Practice address:** 17215 STUDEBAKER RD, SUITE 250, CERRITOS, CA 90703-2524
- **Practice address phone:** (562) 402-4299
- **Practice address fax:** (562) 402-4290
- **Mailing address:** 17215 STUDEBAKER RD, SUITE 250, CERRITOS, CA 90703-2548
- **Mailing address phone:** (562) 402-4299
- **Mailing address fax:** (562) 402-4290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2012
- **Last updated:** 01/23/2012