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1174526453
EVERGREEN HOME HEALTH CARE LLC
CLARKSTON, MI
NPI
1174526453
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Entity Type
Organization
Authorized Contact
RICHARD KELTERBORN
Administrator
248-620-1211
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: MI MI638061)
Enumeration Date
2005-05-31
Last Update Date
2020-08-22
Business Address
EVERGREEN HOME HEALTH CARE LLC
5980 S MAIN ST SUITE 102
CLARKSTON, MI 48346
Phone number: 248-620-1211
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Mailing Address
EVERGREEN HOME HEALTH CARE LLC
5980 S MAIN ST SUITE 102
CLARKSTON, MI 48346
Phone number: 248-620-1211
Copy
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