# MR. ELIJAH DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699928564
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | CRC-240 | SC | Yes |
| 310400000X | Assisted Living Facility | CRC-538 | SC | — |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 10/23/2008