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Organization
EVERGREEN SUPPORTIVE CARE, LLC
Active
Organization
EVERGREEN SUPPORTIVE CARE, LLC
Active
Other names
Evergreen Supportive Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNADETTE MARIE BROWN (PRESIDENT)
(314) 532-5583
Entity
Organization
Contact information
Practice address
7244 HENDERSON AVE, SAINT LOUIS, MO 63121-5018
(314) 532-5583
(314) 200-2682
Mailing address
7244 HENDERSON AVE, SAINT LOUIS, MO 63121-5018
(314) 532-5583
(314) 200-2682
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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