Organization
EVERGREEN HOME HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAMA MARIE SAIDY (ASSISTED LIVING DIRECTOR)
(320) 469-7560
Entity
Organization
Contact information
Practice address
2621 S HEIGHTS DR NW, COON RAPIDS, MN 55433-3512
(320) 469-7560
Mailing address
16386 ELLERDALE LN, EDEN PRAIRIE, MN 55346-1411
(320) 469-7560
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
09/19/2025
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