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EVERGREEN SENIOR CARE SERVICE, LLC

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Company Details

Legal Name: EVERGREEN SENIOR CARE SERVICE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 9th 2024
Expiration date: 31 May 2026
UBI Number: 605 542 230
ZIP code: 98031
City: Kent
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9701 S 200TH ST, KENT, WA, 98031-1442, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 805 SW 315TH PL, FEDERAL WAY, WA, 98023-4713, UNITED STATES

Contact Details

E-Mail: EVERGCARE@GMAIL.COM
Phone Number: +1 206-484-7663

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
TAWEKE GEBRESELASSIE Registered Agent 9701 S 200TH ST, KENT, WA, 98031-1442, UNITED STATES

Key Officers & Management

Name Role Address
TAWEKE GEBRESELASSIE Executor 9701 S 200TH ST, KENT, WA, 98031-1442, UNITED STATES
TAWEKE GEBRESELASSIE Governing Person 9701 S 200TH ST, KENT, WA, 98031-1442, UNITED STATES

National Provider Identifier

NPI Number:
1992502595
Certification Date:
2025-03-01

Authorized Person:

Name:
TAWEKE S GEBRESELASSIE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
Yes

Contacts:

Fax:
2539813156
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