Individual
LILLIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 SHADY GROVE RD, HURTSBORO, AL 36860-2815
(334) 667-6394
(334) 667-0077
Mailing address
PO BOX 591, HURTSBORO, AL 36860-0591
(334) 667-6394
(334) 667-0077
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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