MEDICARE: EVANT INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency	7710365	OH

General Provider Information

NPI Number	:	1568601375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVANT INC.

Provider Business Mailing Address
First Line	:	2251 FRONT ST
Second Line	:	SUITE 200
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-2567
Country	:	US
Telephone Number	:	330-920-1517
Fax Number	:	330-920-1016

Provider Business Practice Location Address
First Line	:	3568 E WATERLOO RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4112
Country	:	US
Telephone Number	:	330-628-5885
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. SHERRY D. GEDEON
Credential	:
Telephone Number	:	330-920-1517

Provider Enumeration Date	:	02/18/2009
Last Update Date	:	02/18/2009

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Directions to “EVANT INC. ” Practice Location

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