| NPI | 1992370597 |
|---|---|
| Former Legal Business Name | EVANGELIC PRIMARY HOME CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | ETNA ELIZABETH VELA Administrator 056-867-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |