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Organization

EVERGREEN FAMILY SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHAD DARAR (OWNER)
(703) 258-4909
Entity
Organization

Contact information

Practice address
1115 8TH AVE, GREELEY, CO 80631-4009
(703) 258-4909
Mailing address
1115 8TH AVE, GREELEY, CO 80631-4009

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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