Organization
EVERGREEN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINIL PATEL (OWNER/ADMINISTRATOR)
(972) 735-9604
Entity
Organization
Contact information
Practice address
6521 CLEARHAVEN CIR, DALLAS, TX 75248-4017
(972) 735-9604
(972) 735-9602
Mailing address
6521 CLEARHAVEN CIR, DALLAS, TX 75248-4017
(972) 735-9604
(972) 735-9602
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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