# EVERGREEN HOMECARE AT BOCA

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

## Provider details

- **NPI number:** 1871853515
- **Authorized official:** MISS GLADYS ESTEFANIA HUIZA (ADMISTRATOR)
- **Authorized official phone:** (786) 470-5159

## Contact information

- **Practice address:** 4400 N FEDERAL HWY, SUITE 210-48, BOCA RATON, FL 33431-5187
- **Practice address phone:** (561) 922-9726
- **Practice address fax:** (561) 922-9728
- **Mailing address:** 4400 N FEDERAL HWY, SUITE 210-48, BOCA RATON, FL 33431-5187
- **Mailing address phone:** (561) 922-9726
- **Mailing address fax:** (561) 922-9728

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2012
- **Last updated:** 12/07/2012
