Organization
EVERGREEN HOME CARE & HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SELICO (ADMINISTRATOR)
(323) 293-7072
Entity
Organization
Contact information
Practice address
3756 SANTA ROSALIA DR STE 520B, LOS ANGELES, CA 90008-3656
(323) 293-7072
(323) 293-7123
Mailing address
3756 SANTA ROSALIA DR STE 520B, LOS ANGELES, CA 90008-3656
(323) 293-7072
(323) 293-7123
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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