Provider Demographics
NPI:1316745573
Name:GERE, EVELYN ELAINE
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:ELAINE
Last Name:GERE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 SAWMILL RUN DR
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8622
Mailing Address - Country:US
Mailing Address - Phone:234-320-5780
Mailing Address - Fax:
Practice Address - Street 1:225 SAWMILL RUN DR
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-8622
Practice Address - Country:US
Practice Address - Phone:234-320-5780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care