EVERGREEN GERIATRIC CARE MANAGEMENT, LLC
Managed Care Organizations at Stovall St, Augusta, GA

License number
Georgia CSW004126
Category
Managed Care Organizations
Type
Exclusive Provider Organization
License number
Georgia CSW004126
Category
Managed Care Organizations
Type
Health Maintenance Organization
License number
Georgia CSW004126
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Georgia CSW004126
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MS. EVE WILLIAMS PEARSON LCSW, C-ASWCM
Title: OWNER/THERAPIST
Phone: (706) 288-5428
Address
Address
1521 Stovall St, Augusta, GA 30904
National Provider ID: 1306116637
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EVERGREEN GERIATRIC CARE MANAGEMENT, LLC

1521 Stovall St, Augusta, GA 30904

Status:
Inactive
Industry:
Individual/Family Services
Doing business as:
Evergreen Geriatric Care LLC<br>Evergreen Geriatric Care MGMT
Registration:
Oct 19, 2006
Phone:
(706) 288-5428 (Phone)
State ID:
0689871
Business type:
Domestic Limited Liability Company
Formation place:
GEORGIA
Expiration:
08/06/2009
Allied Health Professional, Managing Member, Owner, Social Worker:
Eve Pearson (Allied Health Professional, Managing Member, Owner, Social Worker)
Agent:
Eve Williams Pearson,1521 Stovall St, Augusta, GA (Physical)
Categories:
Health Care Management Consultants

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