Basic Information
| Provider Information | |||||||||
| NPI: | 1568601375 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EVANT INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2251 FRONT ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CUYAHOGA FALLS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442212567 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309201517 | ||||||||
| FaxNumber: | 3309201016 | ||||||||
| Practice Location | |||||||||
| Address1: | 3568 E WATERLOO RD | ||||||||
| Address2: | |||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443124112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306285885 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2009 | ||||||||
| LastUpdateDate: | 02/18/2009 | ||||||||
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| AuthorizedOfficialLastName: | GEDEON | ||||||||
| AuthorizedOfficialFirstName: | SHERRY | ||||||||
| AuthorizedOfficialMiddleName: | D. | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3309201517 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251V00000X | 7710365 | OH | Y | Agencies | Voluntary or Charitable |
No ID Information.