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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILLIAM W EVERLY JR., CARE PROVIDER

Active Sole Proprietor

MR. WILLIAM W EVERLY JR., CARE PROVIDER is a Home Health Aide healthcare provider located in CANYON LAKE, California. NPI 1659078582 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · CANYON LAKE, CA

Registration Details

NPI Number
1659078582
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2023 (3.3261602913996 yrs)
Last Updated
Feb 10, 2023
Licenses
002919919 (CA)
002919919 (CA)
Sole Proprietor
Yes

Practice Information

Address
30051 SWAN POINT DR
CANYON LAKE, CA, 925877407
Browse CA providers · Browse ZIP 92587
Phone
9492128851
Fax
9494813197
Primary Specialty
Home Health Aide
374U00000X
Additional Specialty
Home Health Aide
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.