Healthcare Provider Details

I. General information

NPI: 1396282737
Provider Name (Legal Business Name): EVELYNS ANGELS HOMEHEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 COUNTY RD
ALEXANDER CITY AL
35010-3835
US

IV. Provider business mailing address

2508 COUNTY RD
ALEXANDER CITY AL
35010-3835
US

V. Phone/Fax

Practice location:
  • Phone: 256-496-2497
  • Fax:
Mailing address:
  • Phone: 256-496-2497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CARMELA SANDERS
Title or Position: 0WNER
Credential:
Phone: 256-496-2497