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Organization
EVERGREEN GROUP, L.L.C.
Active
Organization
EVERGREEN GROUP, L.L.C.
Active
Other names
ClearPath Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
ALY A GADALLA (OWNER)
(316) 641-7385
Entity
Organization
Contact information
Practice address
1861 N ROCK RD STE 102, WICHITA, KS 67206-1264
(316) 440-6780
Mailing address
1861 N ROCK RD STE 102, WICHITA, KS 67206-1264
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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