Organization
DAVENPORT RESIDENTIAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ANN DAVENPORT (ADMINISTRATOR)
(254) 344-2260
Entity
Organization
Contact information
Practice address
1649 LCR 310, MART, TX 76664-5207
(254) 344-2260
(245) 344-2472
Mailing address
1649 LCR 310, MART, TX 76664-5207
(254) 344-2260
(245) 344-2472
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016443
—
TX
Enumeration date
11/07/2008
Last updated
11/07/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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