Organization
EVERGREEN ADULT HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMANNA RAHMAN (CEO)
(951) 893-0859
Entity
Organization
Contact information
Practice address
362 N SWIDLER ST, ORANGE, CA 92869-2827
(951) 893-0859
Mailing address
1836 LEXINGTON DR, CORONA, CA 92878-3682
(951) 893-0859
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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