Organization
GODS PUPIL
Active
Parent organization
EVANS PUPIL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANS PUPIL INC
Authorized official
MR. JOSHUA RAY EVANS SR. (PRESIDENT)
(614) 407-9269
Entity
Organization
Contact information
Practice address
5098 HEARTHSTONE PARK DR, NEW ALBANY, OH 43054-7900
(740) 919-1147
Mailing address
5195 HAMPSTED VILLAGE CENTER WAY, PMB 119, NEW ALBANY, OH 43054-8331
(614) 407-9269
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316095
—
OH
Enumeration date
08/08/2019
Last updated
08/08/2019
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