OrganizationActive
Evans Logistic Services LLC
NPI 1194386193 · Developmental Disabilities Clinic/Center · Reddick, FL
Provider details
- NPI number
- 1194386193
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terrence Evans, Medicaid Waiver Provider(352) 361-2968
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12630 Nw 38th Ave
Reddick, FL 32686-4067
Phone: (352) 361-2968
Approximate (ZIP-level) locationGet directions
Mailing address
12630 Nw 38th Ave
Reddick, FL 32686-4067
Other names (DBA / former)
- Other name
- Evans Logistic Services LLC
Registry dates
- Enumerated
- 2019-06-21
- Last updated
- 2019-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.