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Organization
EVERGREEN PRIVATE CARE OF HOUSTON LLC
Active
Organization
EVERGREEN PRIVATE CARE OF HOUSTON LLC
Active
Parent organization
KWJ ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KWJ ASSOCIATES, LLC
Authorized official
MR. JERRY WHEELER (PRESIDENT)
(832) 888-9099
Entity
Organization
Contact information
Practice address
16818 N. ELDRIDGE PARKWAY, TOMBALL, TX 77377
(281) 320-1856
(281) 320-1886
Mailing address
2650 COLLEGE STATION MOUNTAIN RD, PIKEVILLE, TN 37367-4435
(404) 545-2945
(855) 841-4224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
06/08/2012
Last updated
03/23/2018
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