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Organization
EVERGREEN HEALTH CARE
Active
Organization
EVERGREEN HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE MCCORMICK (SECRETARY)
(704) 496-2699
Entity
Organization
Contact information
Practice address
5960 FAIRVIEW RD STE 400, CHARLOTTE, NC 28210-3119
(206) 708-0600
(206) 708-0600
Mailing address
970 SIDNEY MARCUS BLVD NE, ATLANTA, GA 30324-5613
(818) 326-3834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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