Organization
EVERGREEN PRIVATE CARE OF FLORIDA LLC
Active
Parent organization
KWJ ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KWJ ASSOCIATES, LLC
Authorized official
KEREN WHEELER (CEO)
(772) 888-6962
Entity
Organization
Contact information
Practice address
7301 SW GAINES AVE, STUART, FL 34997-7332
(281) 320-1856
Mailing address
PO BOX 1187, HOBE SOUND, FL 33475-1187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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