Organization
EVERGREEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVA LAL (TREASURER/SECRETARY)
(510) 557-9819
Entity
Organization
Contact information
Practice address
1423A COMPTON RD, SAN FRANCISCO, CA 94129-2812
(510) 557-9819
Mailing address
424 CEDAR ST, FAIRVIEW, OR 97024-1916
(510) 557-9819
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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