# DAVCO REST HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAVCO HOMES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447588629
- **Legal business name:** DAVCO HOMES, INC
- **Authorized official:** MR. HARRY D SIMPSON JR. (OWNER)
- **Authorized official phone:** (270) 683-5571

## Contact information

- **Practice address:** 2526 W 10TH ST, OWENSBORO, KY 42301-1738
- **Practice address phone:** (270) 684-1705
- **Practice address fax:** (270) 684-0963
- **Mailing address:** 7 WOODFORD AVE, OWENSBORO, KY 42301-0563
- **Mailing address phone:** (270) 683-5571
- **Mailing address fax:** (270) 683-8317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 100084 | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2009
- **Last updated:** 11/25/2009