Provider Demographics
NPI:1962641779
Name:EVANT INC.
Entity Type:Organization
Organization Name:EVANT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GEDEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-920-1517
Mailing Address - Street 1:2251 FRONT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-2567
Mailing Address - Country:US
Mailing Address - Phone:330-920-1517
Mailing Address - Fax:330-920-1016
Practice Address - Street 1:3415 PONTIUS RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-9214
Practice Address - Country:US
Practice Address - Phone:330-699-6051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7714174251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable