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Organization

EVERGREEN HOME HEALTHCARE, LLC

Active
Other names
Aveanna Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization

Contact information

Practice address
1235 W 124TH AVE STE 102, WESTMINSTER, CO 80234-1725
(303) 920-0818
(303) 920-0824
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
03/01/2011
Last updated
01/27/2025
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