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Organization
EVERGREEN HOME HEALTHCARE SERVICES, LLC
Active
Organization
EVERGREEN HOME HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAMA MARIE SAIDY (ASSISTED LIVING DIRECTOR)
(320) 469-7560
Entity
Organization
Contact information
Practice address
2621 S HEIGHTS DR NW, COON RAPIDS, MN 55433-3512
(320) 469-7560
Mailing address
16386 ELLERDALE LN, EDEN PRAIRIE, MN 55346-1411
(320) 469-7560
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
09/19/2025
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