Organization
Y EVERGREEN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMBOK KAYE MIN (PRESIDENT)
(718) 353-4553
Entity
Organization
Contact information
Practice address
42-07 PARSONS BLVD, FLUSHING, NY 11355
(718) 554-2055
(718) 554-2057
Mailing address
42-07 PARSONS BLVD, FLUSHING, NY 11355
(718) 554-2055
(718) 554-2057
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1467L001
NY
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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