Evans Walston Home LLC
Evans Walston Home LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fuquay Varina, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.
- Licensed in
- NC
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
808 Hawks View CtFuquay Varina, NC 27526-6642
Phone: (919) 552-1312
Fax: (919) 552-1312
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence MHL 092248 (NC) |
|---|
Record details
| NPI number | 1063843274 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glenda Evans Walston — Owner/Operator · (919) 552-1312 |
| Other names | Evans Walston Home |
| NPI enumerated | December 13, 2013 |
| Last updated in NPPES | December 13, 2013 |
| Mailing address | 808 Hawks View Ct, Fuquay Varina, NC 27526-6642 |
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