IndividualActive
Carolyn Evans
NPI 1790469039 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Wyoming, OH
Provider details
- NPI number
- 1790469039
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
704 Walnut St
Wyoming, OH 45215-2833
Phone: (513) 720-0421
Approximate (ZIP-level) locationGet directions
Mailing address
704 Walnut St
Wyoming, OH 45215-2833
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.