Organization
EVOLVE COMMUNITY SERVICES, LLC
Active
Other names
Evolve Community Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WIDMAYER AMBROISE (CEO)
(774) 719-3922
Entity
Organization
Contact information
Practice address
55 PARK ST APT 2, ATTLEBORO, MA 02703-2363
(774) 719-3922
Mailing address
55 PARK ST APT 2, ATTLEBORO, MA 02703-2363
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/04/2022
Last updated
05/05/2024
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