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Mr. William W Everly JR., CAREPROVIDER
Home Health Aide in Canyon Lake, California
NPI 1659078582

William W Everly JR. is a Home Health Aide based in Canyon Lake, CA. William W Everly JR. practices in Canyon Lake, CA and has the professional credentials of CAREPROVIDER. The NPI Number for William W Everly JR. is 1659078582 and holds a License No. 002919919 (California).

The current practice location address for William W Everly JR. is 30051 Swan Point Dr, Canyon Lake, CA and can be reached out via phone at 949-212-8851 and via fax at 949-481-3197.

Location: 30051 Swan Point Dr, Canyon Lake, CA, 92587-7407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659078582
Provider Name
William W Everly JR.
Credential
CAREPROVIDER
Provider Entity Type
Individual
Gender
Male
Address
30051 Swan Point Dr, Canyon Lake, CA, 92587-7407
Phone Number
949-212-8851
Fax Number
949-481-3197
Provider Enumeration Date
02/10/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002919919 05 CA
institution
Provider Business Practice Location Address Details
Address
30051 Swan Point Dr
City
Canyon Lake
State
California
Zip
92587-7407
Phone Number
949-212-8851
Fax Number
949-481-3197
person
Provider Business Mailing Address Details
Address
30051 Swan Point Dr
City
Canyon Lake
State
California
Zip
92587-7407
Phone Number
949-212-8851
Fax Number
949-481-3197
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
002919919 (California)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
002919919 (California)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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