# EVERGREEN HOMECARE SERVICES,LLC

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

## Provider details

- **NPI number:** 1811317118
- **Authorized official:** MRS. KARTHY KUNCHAPPA P.T (PRESIDENT)
- **Authorized official phone:** (517) 581-4877

## Contact information

- **Practice address:** 7851 SPRING ARBOR RD, SUITE 23, SPRING ARBOR, MI 49283-9503
- **Practice address phone:** (517) 581-4877
- **Practice address fax:** (517) 750-3269
- **Mailing address:** 7851 SPRING ARBOR RD, SUITE: 23, SPRING ARBOR, MI 49283-9503
- **Mailing address phone:** (517) 581-4877
- **Mailing address fax:** (517) 750-3269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2014
- **Last updated:** 04/12/2016