# DAVIS HEALTHCARE CENTER

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

## Provider details

- **NPI number:** 1386924736
- **Authorized official:** TEAL BUSTEED (PROGRAM MANAGER)
- **Authorized official phone:** (910) 686-5614

## Contact information

- **Practice address:** 1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
- **Practice address phone:** (910) 686-5614
- **Mailing address:** 810 MATTHEWS COMMONS DR APT 13, MATTHEWS, NC 28105-6129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 7623 | NC | Yes |

## Other

- **Enumeration date:** 08/17/2011
- **Last updated:** 08/17/2011