Organization
EVERGREEN LIFE CARE HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINAKSHI ROYCHOUDHURY (LICENSEE/ADMINISTRATOR)
(408) 483-0196
Entity
Organization
Contact information
Practice address
542 W BROWNING AVE, FRESNO, CA 93704-1802
(498) 483-0196
(449) 468-0030
Mailing address
3092 HANSON AVE, CLOVIS, CA 93611-3917
(408) 483-0196
(559) 468-0030
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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