Organization
CORNELIA NIXON DAVIS, INC.
Active
Parent organization
CORNELIA NIXON DAVIS, INC
Other names
Davis Home Care Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNELIA NIXON DAVIS, INC
Authorized official
MR. CHARLES LONG (CEO)
(910) 686-7195
Entity
Organization
Contact information
Practice address
1013 PORTERS NECK RD, SUITE 130, WILMINGTON, NC 28411-8130
(910) 686-7195
(910) 686-7592
Mailing address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-7195
(910) 686-7592
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4177
NC
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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