Individual provider · NPI-1
Eva Maria I Matute
In Home Supportive Care · Crestview, FL
NPI number1831684901
StatusActive
Last updated in NPPESJul 5, 2018
Details
- NPI
- 1831684901
- Entity type
- Individual (NPI-1)
- Name
- Eva Maria I Matute
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2018
- Last updated
- Jul 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 376J00000X | Homemaker | – | FL |
Practice location
6050 Trestle StCrestview, FL 32536
Phone 910-528-0612
Mailing address
6050 Trestle StCrestview, FL 32536-4379
Phone 910-528-0612
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