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General NPI Number Information
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NPI Number | 1871993949
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Entity Type | Organization
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Legal Business Name | EVERCARE LLC
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 16795 SAY RD
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City | WAMEGO
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State | KS
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Zip | 66547-9742
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Country | US
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Telephone | 785-477-5321
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 NE SEWARD AVE
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City | TOPEKA
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State | KS
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Zip | 66616-1651
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Country | US
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Telephone | 785-286-6388
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KELLIE L EVERSON
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Credential | ADULT CARE DIRECTOR
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Telephone | 785-477-5321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | B089077
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License Number State | KS
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