Individual provider · Type 1 NPI
William W. Everly Jr., CARE PROVIDER
Home Health Aide · Canyon Lake, CA
NPI number
1659078582
Active
Practice location
30051 Swan Point Dr
Canyon Lake, CA 92587-7407
Fax (949) 481-3197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 002919919 (CA) |
| Home Health Aide Primary | 374U00000X | 002919919 (CA) |
Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
About NPI 1659078582
William W. Everly Jr., CARE PROVIDER's National Provider Identifier is 1659078582, issued on Feb 10, 2023. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Canyon Lake, CA. The record was last updated on Feb 10, 2023.