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Mrs. Evena Jean Charles
Adult Care Home Facility in Palm Bay, Florida
NPI 1992116149

Evena Jean Charles is an Adult Care Home Facility based in Palm Bay, FL and is specialized in Adult Care Home. Evena Jean Charles practices in Palm Bay, FL. The NPI Number for Evena Jean Charles is 1992116149 and holds a License No. (Florida).

The current practice location address for Evena Jean Charles is 1551 Dozier Cir Se, Palm Bay, FL and can be reached out via phone at 321-723-8383.

Location: 1551 Dozier Cir Se, Palm Bay, FL, 32909-6535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992116149
Provider Name
Evena Jean Charles
Credential
Provider Entity Type
Individual
Gender
Female
Address
1551 Dozier Cir Se, Palm Bay, FL, 32909-6535
Phone Number
321-723-8383
Fax Number
Provider Enumeration Date
05/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6906630 05 FL
institution
Provider Business Practice Location Address Details
Address
1551 Dozier Cir Se
City
Palm Bay
State
Florida
Zip
32909-6535
Phone Number
321-723-8383
Fax Number
person
Provider Business Mailing Address Details
Address
1551 Dozier Cir Se
City
Palm Bay
State
Florida
Zip
32909-6535
Phone Number
321-723-8383
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
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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