Evergreen Home Healthcare

NPI 1386717551 - Home Health - 251E00000X

NPI Details
NPI 1386717551
Enumeration Date 11/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAO C PAO
Position DIRECTOR
Phone (651) 487-5094
Fax
Practice Location
1088 RICE ST
SUITE 6
SAINT PAUL MN, 55117-2906, US
Phone (651) 487-5094
Fax
Business Location
1088 RICE ST
SUITE 6
SAINT PAUL MN, 55117-2906, US
Phone
Fax
Toxanomy
Taxonomy Code 251E00000X
License State Minnesota
License Number 332195
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According to our database, Evergreen Home Healthcare NPI is 1386717551, taxonomy code is 251E00000X and license number is 332195, license state is located at Minnesota. Evergreen Home Healthcare physically located at 1088 Rice St, Saint Paul MN, 55117-2906. NPI Number 1033115704 has the healthcare provider type.

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1386717551 NPI number is provided on an as is basis without warranty of any kind. 1386717551 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Home Healthcare are for informational purposes only.