Provider Demographics
NPI:1871251355
Name:DEVON HEALTH LLC
Entity Type:Organization
Organization Name:DEVON HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEN
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:EVERTS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:916-296-5866
Mailing Address - Street 1:1025 MONTGOMERY HWY STE 220
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2830
Mailing Address - Country:US
Mailing Address - Phone:205-208-9466
Mailing Address - Fax:
Practice Address - Street 1:1025 MONTGOMERY HWY STE 220
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2830
Practice Address - Country:US
Practice Address - Phone:205-208-9466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health