Organization
EVERGREEN TEAM HOLDINGS LLC - SUPPORTING BRIGHT FUTURES DBA
Active
Other names
Freedom REI Homes Corp, Supporting Bright Futures
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE COLE (OWNER)
(707) 206-5204
Entity
Organization
Contact information
Practice address
16745 BIG BEAR RD, LOWER LAKE, CA 95457-9712
(707) 266-9150
(707) 922-0898
Mailing address
16745 BIG BEAR RD, LOWER LAKE, CA 95457-9712
(707) 266-9150
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/03/2025
Last updated
04/28/2026
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