Organization
EVERGREEN CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMINA MAOW AHMED (OWNER)
(612) 225-8344
Entity
Organization
Contact information
Practice address
13118 BAUER DR N, CHAMPLIN, MN 55316-3132
(612) 225-8344
Mailing address
13118 BAUER DR N, CHAMPLIN, MN 55316-3132
(612) 225-8344
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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