Organization
EVERGREEN HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEN JENSEN LAU (CEO)
(267) 315-2335
Entity
Organization
Contact information
Practice address
4818 CHESTER AVE STE 88, PHILADELPHIA, PA 19143-3454
(267) 315-2335
Mailing address
4818 CHESTER AVE STE 88, PHILADELPHIA, PA 19143-3454
(267) 315-2335
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4216830
PA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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