Organization
EVERGREEN FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMUD MAHAMMED (OWNER)
(206) 582-8530
Entity
Organization
Contact information
Practice address
5507 SPARKLE STONE CRES, FITCHBURG, WI 53711-4907
(206) 582-8530
Mailing address
5507 SPARKLE STONE CRES, FITCHBURG, WI 53711-4907
(206) 582-8530
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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