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Organization
EVERGREEN HOME CARE LLC
Active
Organization
EVERGREEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIJU THOMAS (OWNER)
(267) 368-9582
Entity
Organization
Contact information
Practice address
555 ROSE HILL LN, LAWRENCEVILLE, GA 30044-5714
(267) 368-9582
Mailing address
555 ROSE HILL LN, LAWRENCEVILLE, GA 30044-5714
(267) 368-9582
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
01/24/2022
Last updated
09/26/2026
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