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Organization
EVERGREEN HOME ASSISTANCE LLC
Active
Organization
EVERGREEN HOME ASSISTANCE LLC
Active
Other names
HomeWell Care Services PA261
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILIA CHINELO AGUSIBE-AKAMOBI RN- BSN (OWNER /CEO)
(631) 636-8767
Entity
Organization
Contact information
Practice address
4302 GREENSPRINGS AVE, WEST MIFFLIN, PA 15122-1765
(631) 636-8767
Mailing address
4302 GREENSPRINGS AVE, WEST MIFFLIN, PA 15122-1765
(631) 636-8767
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/10/2024
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