Organization
EVER PATH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAL GRANT (AUTHORIZED REPRESENTATIVE)
(786) 438-8415
Entity
Organization
Contact information
Practice address
308 W EVESHAM AVE STE A, MAGNOLIA, NJ 08049-1700
(786) 438-8415
Mailing address
308 W EVESHAM AVE STE A, MAGNOLIA, NJ 08049-1700
(786) 438-8415
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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