Organization
EVERGREEN VALLEY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY TRAN DPT (OWNER, PRESIDENT)
(408) 416-3030
Entity
Organization
Contact information
Practice address
325 S 1ST ST # 207, SAN JOSE, CA 95113-2835
(408) 416-3030
(408) 834-7618
Mailing address
325 S 1ST ST # 200, SAN JOSE, CA 95113-2835
(408) 416-3030
(408) 834-7618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
12/18/2023
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