Individual
DONICA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2635 FIELDSTONE VIEW LN SE APT B, CONYERS, GA 30013-2199
(678) 826-6437
Mailing address
2635 FIELDSTONE VIEW LN SE APT B, CONYERS, GA 30013-2199
(678) 826-6437
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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