Organization
EVELYN'S PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PRISCILLA WALTERS (OWNER/ADMINISTRATOR)
(754) 204-6112
Entity
Organization
Contact information
Practice address
4901 JEFFERSON ST, HOLLYWOOD, FL 33021-7627
(754) 204-6112
(954) 894-1188
Mailing address
4901 JEFFERSON ST, HOLLYWOOD, FL 33021-7627
(754) 204-6112
(954) 894-1188
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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