Individual
CHEYENNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 LORRAINE PATH, SAINT JOSEPH, MI 49085-8630
(269) 428-1111
Mailing address
196 ELM ST, ROSSFORD, OH 43460-1223
(419) 340-5949
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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