Organization
EVERGREEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KULDEEP BHATT MHA, BSN, RN (DIRECTOR OF NURSING/ OWNER)
(864) 340-0442
Entity
Organization
Contact information
Practice address
7 PROGRESS ST STE 101A, EDISON, NJ 08820-1102
(864) 340-0442
Mailing address
255 PRINCETON RD, PISCATAWAY, NJ 08854-3033
(864) 340-0442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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