Individual provider · Type 1 NPI

Evena Jean Charles

Adult Care Home Facility · Palm Bay, FL

NPI number 1992116149 Active

Practice location

1551 Dozier Cir SE
Palm Bay, FL 32909-6535

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone 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.

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About NPI 1992116149

Evena Jean Charles's National Provider Identifier is 1992116149, issued on May 9, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Palm Bay, FL. The record was last updated on May 9, 2014.