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Organization

EVOLVINGHOMECARELLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NITASHA O DANIEL (OWNER)
(478) 343-8154
Entity
Organization

Contact information

Practice address
210 MAY RD, OGLETHORPE, GA 31068-6648
(478) 343-8154
Mailing address
210 MAY RD, OGLETHORPE, GA 31068-6648
(478) 316-1512

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
385H00000X
Respite Care

Other

Enumeration date
03/18/2025
Last updated
05/21/2025
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