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Organization

EVERGREEN HOME HEALTHCARE IHSS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON ELLSWORTH (OWNER)
(970) 310-7457
Entity
Organization

Contact information

Practice address
1235 W 124TH AVE STE 102, WESTMINSTER, CO 80234-1725
(970) 310-7457
Mailing address
1235 W 124TH AVE STE 102, WESTMINSTER, CO 80234-1725
(970) 310-7457

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/04/2019
Last updated
02/04/2019
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