Evans Logistic Services LLC

Developmental Disabilities Clinic/Center · Reddick, FL

Organization Active NPI

NPI number 1194386193

Practice location

12630 NW 38TH Ave
Reddick, FL 32686-4067
Phone
(352) 361-2968

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NPI record

NPI
1194386193
Entity type
Organization (Type 2)
Enumeration date
June 21, 2019
Last updated
June 21, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Disabilities Clinic/Center Primary 261QD1600X — —

Authorized official

Name
Terrence Evans
Title
Medicaid Waiver Provider
Phone
(352) 361-2968

Other names

  • Evans Logistic Services LLC

About Evans Logistic Services LLC

Evans Logistic Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Developmental Disabilities Clinic/Center (code 261QD1600X). The practice location is 12630 NW 38TH Ave, Reddick, FL 32686-4067. The NPI number 1194386193 was assigned on June 21, 2019 and the record was last updated on June 21, 2019.

The authorized official for this organization is Terrence Evans, Medicaid Waiver Provider.

Frequently asked questions

What is the NPI number of Evans Logistic Services LLC?

The NPI number is 1194386193.

What is the phone number of Evans Logistic Services LLC?

The phone number listed for the practice location is (352) 361-2968.

Where is Evans Logistic Services LLC located?

12630 NW 38TH Ave, Reddick, FL 32686-4067.

What is the taxonomy code for Evans Logistic Services LLC?

The primary taxonomy code is 261QD1600X – Developmental Disabilities Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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