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Organization
THE DAVIS HOME
Active
Organization
THE DAVIS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELEAN DAVIS (OWNER)
(252) 456-4574
Entity
Organization
Contact information
Practice address
112 AKINS LN, MANSON, NC 27553-9124
(252) 456-4574
Mailing address
112 AKINS LN, MANSON, NC 27553-9124
(252) 456-4574
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-093-040
NC
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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