Evolve Residential Llc

LBN: Evolve Residential Llc
Evolve Residential Llc is an health care organization with primary practice located at 6305 Carolina Ave , Glen Burnie MD 21061-1601. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Evolve Residential Llc can be contacted via phone (443) 548-3733, or through Costley, Jessie via phone (443) 548-3733.

Contact Information

Primary practice address
6305 Carolina Ave Glen Burnie MD 21061-1601
Phone: (443) 548-3733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costley, Jessie
Phone: (443) 548-3733

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1043957137
LBN Legal business name Evolve Residential Llc
DBA Doing business as
Authorized official Costley, Jessie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2022
Last updated May 19th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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