Organization
EVERGREEN CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LABRIE (CFO)
(718) 260-6250
Entity
Organization
Contact information
Practice address
1177 6TH AVE # 5140, NEW YORK, NY 10036-2714
(718) 260-6250
Mailing address
1979 MARCUS AVE STE C115, NEW HYDE PARK, NY 11042-1126
(718) 260-6250
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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