Organization
EVIDENCE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLIAN O APONO (ADMINISTRAROR)
(469) 500-4273
Entity
Organization
Contact information
Practice address
818 BLACK HAWK DR, PRINCETON, TX 75407-9140
(469) 500-4273
Mailing address
818 BLACK HAWK DR, PRINCETON, TX 75407-9140
(469) 500-4273
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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