Evergreen Home Care LLC
In Home Supportive Care in Saint Louis, MO. Organization (NPI-2).
NPI number1104640010
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1104640010
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Home Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2024
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
10199 Woodfield LnSaint Louis, MO 63132-2922
Phone 314-736-1038
Mailing address
10199 Woodfield LnSaint Louis, MO 63132-2922
Authorized official
Alexander Shlafshteyn
Managing Member
3147361038
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All 540 In Home Supportive Care Agency providers in Saint Louis · All 34,755 providers in Saint Louis
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