Organization
EVERGREEN WELLNESS ENDEAVORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ELLIS LMSW (OWNER/SOCIAL WORKER)
(208) 637-5102
Entity
Organization
Contact information
Practice address
675 E ANTON ST, MERIDIAN, ID 83646-6298
(208) 637-5102
Mailing address
675 E ANTON ST, MERIDIAN, ID 83646-6298
(208) 637-5102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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