Evolvecare, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Laurel, MD. Organization (NPI-2).

NPI number1245963636

StatusActive

Last updated in NPPESJul 5, 2022

Details

NPI: 1245963636
Entity type: Organization (NPI-2)
Legal business name: Evolvecare, INC.
Organization subpart: No
Enumeration date: Jul 5, 2022
Certification date: Jul 5, 2022
Last updated: Jul 5, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes

Practice location

10216 Vast Ocean Pass
Laurel, MD 20723-5867

Phone 443-850-4563

Mailing address

10216 Vast Ocean Pass
Laurel, MD 20723-5867

Phone 443-850-4563

Authorized official

Anthonia Soyoye
Executive Director
4438504563

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