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Organization
NEED A CAREGIVER
Active
Organization
NEED A CAREGIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG DEPATRIC EVANS (ADMINISTRATOR/OWNER)
(954) 297-5054
Entity
Organization
Contact information
Practice address
3800 INVERRARY BLVD, SUITE 408-T, LAUDERHILL, FL 33319-4382
(954) 297-5054
(888) 379-7783
Mailing address
3800 INVERRARY BLVD, SUITE 408-T, LAUDERHILL, FL 33319-4382
(954) 297-5054
(888) 379-7783
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NR30211889
AHCA
FL
Enumeration date
03/15/2017
Last updated
03/15/2017
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