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Carolyn Evans
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wyoming, Ohio
NPI 1790469039

Carolyn Evans is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Wyoming, OH. Carolyn Evans practices in Wyoming, OH. The NPI Number for Carolyn Evans is 1790469039 and holds a License No. (Ohio).

The current practice location address for Carolyn Evans is 704 Walnut St, Wyoming, OH and can be reached out via phone at 513-720-0421.

Location: 704 Walnut St, Wyoming, OH, 45215-2833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790469039
Provider Name
Carolyn Evans
Credential
Provider Entity Type
Individual
Gender
Female
Address
704 Walnut St, Wyoming, OH, 45215-2833
Phone Number
513-720-0421
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
704 Walnut St
City
Wyoming
State
Ohio
Zip
45215-2833
Phone Number
513-720-0421
Fax Number
person
Provider Business Mailing Address Details
Address
704 Walnut St
City
Wyoming
State
Ohio
Zip
45215-2833
Phone Number
513-720-0421
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
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.
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