Organization
EVERGREEN CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NEMAN (OWNER)
(310) 226-0779
Entity
Organization
Contact information
Practice address
7732 SHOUP AVENUE, CANOGA PARK, CA 91304-2436
(310) 266-0779
(310) 271-4010
Mailing address
7732 SHOUP AVENUE, CANOGA PARK, CA 91304-2436
(310) 266-0779
(310) 271-4010
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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