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Organization
DAVIS NURSING HOME, INC.
Active
Organization
DAVIS NURSING HOME, INC.
Active
Other names
Davis Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE DAVIS NHA (CEO)
(570) 474-6377
Entity
Organization
Contact information
Practice address
185 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1921
(570) 474-6377
(570) 474-6712
Mailing address
185 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1921
(570) 474-6377
(570) 474-6712
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007448900002
—
PA
Enumeration date
08/03/2005
Last updated
08/22/2020
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