King, Evita

King, Evita is an sole proprietor health care provider with primary practice located at 2233 Mckinley St , Hollywood FL 33020-3054. She recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is her primary health care specialty. King, Evita can be contacted via phone (954) 922-0808.

Contact Information

Primary practice address
2233 Mckinley St Hollywood FL 33020-3054
Phone: (954) 922-0808
Fax: (954) 922-0882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X 7096 Florida
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 7096 Florida

Profile Details

NPI number 1508349838
LBN Legal business name King, Evita
Credentials STANDARD CARE ALF
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2018
Last updated Dec 8th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508349838 NPPES
Florida MEDICAID 100938600

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