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Organization
EVERGREEN HEALTH CARE & GROUP HOME LLC
Active
Organization
EVERGREEN HEALTH CARE & GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELVINE NKONGHO AYUK DELVINE AYUK (OWNER)
(943) 238-3539
Entity
Organization
Contact information
Practice address
7147 MOUNT ZION CIR APT 1203, MORROW, GA 30260-3330
(943) 238-3539
Mailing address
7147 MOUNT ZION CIR APT 1203, MORROW, GA 30260-3330
(470) 894-0009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
03/25/2025
Last updated
08/28/2025
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