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Organization
EVERGREEN HEALTHCARE SOLUTIONS, INC.
Active
Organization
EVERGREEN HEALTHCARE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASBY AYOH (CHIEF EXECUTIVE OFFICER)
(301) 806-1796
Entity
Organization
Contact information
Practice address
257 E MAIN ST UNIT 2-2A, WESTMINSTER, MD 21157-5523
(301) 806-1796
(301) 459-3000
Mailing address
12815 WILLOW MARSH LN # 410, BOWIE, MD 20720-4691
(301) 806-1796
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/22/2024
Last updated
04/16/2024
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