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Organization
EVOLVE COMMUNITY SERVICES, LLC
Active
Organization
EVOLVE COMMUNITY SERVICES, LLC
Active
Other names
Evolve Community Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WIDMAYER AMBROISE (CEO)
(774) 719-3922
Entity
Organization
Contact information
Practice address
55 PARK ST APT 2, ATTLEBORO, MA 02703-2363
(774) 719-3922
Mailing address
55 PARK ST APT 2, ATTLEBORO, MA 02703-2363
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
NULL
163WM0102X
Maternal Newborn Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/04/2022
Last updated
05/05/2024
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