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Organization
EVERGREEN CARE SERVICES LLC
Active
Organization
EVERGREEN CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIZWAN A SHERDIL (OWNER)
(812) 247-5977
Entity
Organization
Contact information
Practice address
11004A DOORSTONE DR, LATHAM, NY 12110-3770
(307) 289-2158
Mailing address
11004A DOORSTONE DR, LATHAM, NY 12110-3770
(812) 247-2222
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
09/03/2026
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