# EVERGREEN HOME HEALTH CARE AGENCY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710391990
- **Authorized official:** MS. ROSALINE SHAU (VICE PRESIDENT)
- **Authorized official phone:** (848) 459-8301

## Contact information

- **Practice address:** 13 LAKE VIEW BLVD, EDISON, NJ 08817-5419
- **Practice address phone:** (848) 459-8301
- **Practice address fax:** (888) 664-5617
- **Mailing address:** 13 LAKE VIEW BLVD, EDISON, NJ 08817-5419
- **Mailing address phone:** (848) 459-8301
- **Mailing address fax:** (888) 664-5617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HP0187200 | NJ | Yes |

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 06/16/2014