Organization
EVERGREEN HOME CARE
Active
Other names
Evergreen Home care, evergreen home carr
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR Y FARAH MANAGER (CEO)
(614) 592-8678
Entity
Organization
Contact information
Practice address
2852 BOUDINOT AVE STE 202, CINCINNATI, OH 45238-2461
(614) 592-8678
Mailing address
2852 BOUDINOT AVE, CINCINNATI, OH 45238-2461
(614) 592-8678
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
05/03/2024
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