Organization
EVERGREEN HOMECARE AT BOCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GLADYS ESTEFANIA HUIZA (ADMISTRATOR)
(786) 470-5159
Entity
Organization
Contact information
Practice address
4400 N FEDERAL HWY, SUITE 210-48, BOCA RATON, FL 33431-5187
(561) 922-9726
(561) 922-9728
Mailing address
4400 N FEDERAL HWY, SUITE 210-48, BOCA RATON, FL 33431-5187
(561) 922-9726
(561) 922-9728
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/28/2012
Last updated
12/07/2012
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