Organization
EVERGREEN HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISATU R SISAY NURSE (ADMINISTRATOR)
(240) 418-3818
Entity
Organization
Contact information
Practice address
7821 JEREMY TER, DERWOOD, MD 20855-1113
(240) 418-3818
Mailing address
7821 JEREMY TER, DERWOOD, MD 20855-1113
(240) 418-3818
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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