Organization
EVERGREEN SENIOR HOME CARE AT CORONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMANNA RAHMAN (ADMINISTRATOR)
(951) 893-0859
Entity
Organization
Contact information
Practice address
826 PASEO GRANDE, CORONA, CA 92882-2841
(951) 893-0859
Mailing address
PO BOX 27009, ANAHEIM, CA 92809-0100
(951) 893-0859
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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