Individual provider · Type 1 NPI
Evelyn Phams, CNA
Adult Care Home Facility · Ellenwood, GA
NPI number
1013826569
Active
Practice location
327 Panola Rd
Ellenwood, GA 30294-3134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1013826569
Evelyn Phams, CNA's National Provider Identifier is 1013826569, issued on Sep 2, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Ellenwood, GA. The record was last updated on Sep 2, 2026.