Mr. William W Everly Jr., CAREPROVIDER
Mr. William W Everly Jr., CAREPROVIDER is an In Home Supportive Care Agency in Canyon Lake, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
30051 Swan Point DrCanyon Lake, CA 92587-7407
Phone: (949) 212-8851
Fax: (949) 481-3197
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Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 002919919 (CA) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X · Licence 002919919 (CA) |
Record details
| NPI number | 1659078582 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CAREPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | February 10, 2023 |
| Last updated in NPPES | February 10, 2023 |
| Certification date | February 10, 2023 |
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