Provider Demographics
NPI:1043659154
Name:EVERLY HOME CARE SSERVICES, INC.
Entity Type:Organization
Organization Name:EVERLY HOME CARE SSERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OZONG
Authorized Official - Middle Name:
Authorized Official - Last Name:EKONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-903-7600
Mailing Address - Street 1:1912 CENTRAL DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5894
Mailing Address - Country:US
Mailing Address - Phone:817-903-7600
Mailing Address - Fax:214-593-1707
Practice Address - Street 1:1912 CENTRAL DR
Practice Address - Street 2:SUITE G
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5894
Practice Address - Country:US
Practice Address - Phone:817-903-7600
Practice Address - Fax:214-593-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health