Organization
EVERGREEN PERSONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS E KELTERBORN RN (ADMINISTRATOR-OWNER)
(248) 620-8890
Entity
Organization
Contact information
Practice address
5980 S MAIN ST, SUITE 101, CLARKSTON, MI 48346-2377
(248) 620-8890
(248) 620-2286
Mailing address
5980 S MAIN ST, SUITE 101, CLARKSTON, MI 48346-2377
(248) 620-8890
(248) 620-2286
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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