Individual
EVELYN F SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 RAPP HOLLOW RD, LUCASVILLE, OH 45648-8340
(740) 222-8253
Mailing address
29 RAPP HOLLOW RD, LUCASVILLE, OH 45648-8340
(740) 222-8253
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776999
—
OH
Enumeration date
04/17/2015
Last updated
04/17/2015
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