NPI 1093593048
Evergreen Homecare LLC
Practice location
- Address
- 8156 Rainwater Cir, Manassas, VA 20111-5231
- Phone
- (267) 990-3019
- Mailing address
- 109 Bohemian Dr, Middletown, DE 19709-9281
Authorised official
- Name
- Joyce Boafo
- Title
- Owner
- Phone
- (833) 711-4299
Registered specialties (4)
Nursing Care Agency
Primary
Home Health Agency
Personal Care Attendant
Respite Care
Registry record
- NPI
- 1093593048
- Entity type
- Organization
- NPI issued
- 20 Sep 2023
- Record last updated
- 6 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.