# THE DAVIS HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306979844
- **Authorized official:** MRS. EVELEAN DAVIS (OWNER)
- **Authorized official phone:** (252) 456-4574

## Contact information

- **Practice address:** 112 AKINS LN, MANSON, NC 27553-9124
- **Practice address phone:** (252) 456-4574
- **Mailing address:** 112 AKINS LN, MANSON, NC 27553-9124
- **Mailing address phone:** (252) 456-4574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-093-040 | NC | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020