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Organization
EVERGREEN CAREGIVERS, INC.
Active
Organization
EVERGREEN CAREGIVERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL LYNN WILSON CHAA (CEO)
(661) 310-1989
Entity
Organization
Contact information
Practice address
846 W PALMDALE BLVD, PALMDALE, CA 93551-4250
(661) 310-1989
(661) 888-5821
Mailing address
38713 TIERRA SUBIDA AVE STE 200-126, PALMDALE, CA 93551-4562
(661) 310-1989
(661) 888-5821
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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