Organization Name: | EVOLUTION HEALTHCARE SERVICES INC. |
NPI Number: | 1124278502 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSE B EDET (ADMINISTRATOR/DON) |
Mailing Address: | 148 Havenridge Rockwall |
State: | TX US |
Postal Code: | 750326269 |
Phone Number: | 4692335525 |
Fax Number: | 9726355296 |
NPI Enumeration Date: | 09/23/2008 |
NPI Last Update Date: | 09/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |