# DAVIS FAMILY CARE

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

## Provider details

- **NPI number:** 1578840567
- **Authorized official:** LATANYA DAVIS MAED (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (252) 409-0080

## Contact information

- **Practice address:** 6604 E US 264 ALT, WILSON, NC 27893
- **Practice address phone:** (252) 409-0080
- **Practice address fax:** (252) 409-0095
- **Mailing address:** 3410 QUEENSFERRY DR NW, WILSON, NC 27896-1492
- **Mailing address phone:** (252) 258-6666
- **Mailing address fax:** (252) 237-5834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-098-166 | NC | Yes |

## Other

- **Enumeration date:** 11/04/2011
- **Last updated:** 11/04/2011