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General NPI Number Information
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NPI Number | 1467311803
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Entity Type | Organization
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Legal Business Name | EVENA'S HOME CARE LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 6765 NW DAFFODIL LN
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1416
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Country | US
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Telephone | 786-715-7539
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Fax |
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Provider Business Mailing Address
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Address Line | 6765 NW DAFFODIL LN
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1416
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EVENA DUFORT
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Credential |
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Telephone | 786-715-7539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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