Provider Demographics
NPI:1215708367
Name:EVERS PERSONAL CARE & RESPITE SERVICES LLC
Entity type:Organization
Organization Name:EVERS PERSONAL CARE & RESPITE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INDER
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-597-8601
Mailing Address - Street 1:POST OFFICE BOX 730
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:MS
Mailing Address - Zip Code:39069
Mailing Address - Country:US
Mailing Address - Phone:601-807-2418
Mailing Address - Fax:
Practice Address - Street 1:212 GILCHRIST STREET
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:MS
Practice Address - Zip Code:39069
Practice Address - Country:US
Practice Address - Phone:601-786-3215
Practice Address - Fax:601-786-9814
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MS HOUSING DEVELOPMENT CORI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care