Organization
EVERGREEN HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES ESTACIO CU (ADMINISTRATOR / CFO)
(713) 777-1991
Entity
Organization
Contact information
Practice address
9788 CLAREWOOD DRIVE, SUITE 206, HOUSTON, TX 77036-5141
(713) 777-1991
(713) 777-1980
Mailing address
9788 CLAREWOOD DRIVE, SUITE 206, HOUSTON, TX 77036-5141
(713) 777-1991
(713) 777-1980
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
012096
TX
251E00000X
Home Health Agency
Primary
014674
TX
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001025442
STATE CONTRACT
TX
Enumeration date
07/21/2008
Last updated
02/05/2024
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