Healthcare Provider Details

I. General information

NPI: 1588481162
Provider Name (Legal Business Name): EVONA'S HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7356 GARNERS FERRY RD STE 126
COLUMBIA SC
29209-2178
US

IV. Provider business mailing address

7356 GARNERS FERRY RD STE 126
COLUMBIA SC
29209-2178
US

V. Phone/Fax

Practice location:
  • Phone: 803-661-6877
  • Fax:
Mailing address:
  • Phone: 803-661-6877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SATIA JOYNER
Title or Position: ADMINISTRATOR
Credential:
Phone: 803-673-3780