Organization
EVERGREEN HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE BOAFO (OWNER)
(833) 711-4299
Entity
Organization
Contact information
Practice address
8156 RAINWATER CIR, MANASSAS, VA 20111-5231
(267) 990-3019
Mailing address
109 BOHEMIAN DR, MIDDLETOWN, DE 19709-9281
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/20/2023
Last updated
11/06/2024
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