Organization
SHANNON DAVIS PRIVATE NURSING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON NICOLE DAVIS (LPN)
(513) 608-3620
Entity
Organization
Contact information
Practice address
5814 GREEN CREST DR, HAMILTON, OH 45011-2222
(513) 608-3620
Mailing address
5814 GREEN CREST DR, HAMILTON, OH 45011-2222
(513) 608-3620
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
119585
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166946
—
OH
Enumeration date
12/01/2015
Last updated
12/01/2015
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