| Evelyn Home | |
|
2507 Evelyn Ave Rosemead CA 91770 | |
| (626) 573-5902 | |
| (626) 573-9467 |
| Full Name | Evelyn Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2507 Evelyn Ave, Rosemead, California |
| Authorized Official Name and Position | Nzinga Harrison (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9258254700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn Home 3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | Evelyn Home 2507 Evelyn Ave Rosemead CA 91770 Ph: (626) 573-5902 |
| NPI Number | 1962828269 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962828269 | NPI | - | NPPES |
| 197805304 | Other | CA | CCL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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