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Organization
EVERGREEN NURSING HEALTH, LLC
Active
Organization
EVERGREEN NURSING HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA NELSEN (OWNER/PRESIDENT)
(703) 338-9970
Entity
Organization
Contact information
Practice address
7440 HERITAGE VILLAGE PLZ STE 102, GAINESVILLE, VA 20155-3081
(703) 268-0227
Mailing address
7440 HERITAGE VILLAGE PLZ STE 102, GAINESVILLE, VA 20155-3081
(703) 268-0227
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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