Individual provider · Type 1 NPI
Carolyn Evans
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Wyoming, OH
Practice location
704 Walnut St
Wyoming, OH 45215-2833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1790469039
Carolyn Evans's National Provider Identifier is 1790469039, issued on Jun 14, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Wyoming, OH. The record was last updated on Jun 14, 2023.