Organization
EVERGREEN HOME CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA S KIM RN (PRESIDENT)
(847) 470-9280
Entity
Organization
Contact information
Practice address
6041 DEMPSTER ST, MORTON GROVE, IL 60053
(847) 470-9280
(847) 470-9282
Mailing address
6041 DEMPSTER ST, MORTON GROVE, IL 60053-2943
(847) 470-9280
(847) 470-9928
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010796
IL
253Z00000X
In Home Supportive Care Agency
—
IL
Other
Enumeration date
08/20/2006
Last updated
09/30/2020
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