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
| 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.
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- Lakenya JacobsAdult Care Home Facility Palm Bay, FL NPI 1487122248
- Harmeka Adena JonesAdult Care Home Facility Palm Bay, FL NPI 1639094980
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.