# DAVIS ELDERLY CARE, LLC

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

## Provider details

- **NPI number:** 1720253313
- **Authorized official:** JOANNA DAVIS SIMPSON (PRESIDENT)
- **Authorized official phone:** (812) 866-2532

## Contact information

- **Practice address:** 5139 S HANOVER SALUDA RD, HANOVER, IN 47243-9212
- **Practice address phone:** (812) 866-2532
- **Practice address fax:** (812) 866-2530
- **Mailing address:** 5139 S HANOVER SALUDA RD, HANOVER, IN 47243-9212
- **Mailing address phone:** (812) 866-2532
- **Mailing address fax:** (812) 866-2530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 200884710 C | IN | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008