Organization
EVERGREEN MEDICAL AND NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA E FOLLOSCO (OWNER)
(408) 887-0534
Entity
Organization
Contact information
Practice address
4471 GINA ST, FREMONT, CA 94538-2857
(408) 887-0534
Mailing address
4471 GINA ST, FREMONT, CA 94538-2857
(408) 887-0534
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/07/2025
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