Individual
AMANDIA BEATRICE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15136 7TH AVE, PHOENIX, IL 60426-2550
(464) 253-8998
Mailing address
15136 7TH AVE, PHOENIX, IL 60426-2550
(464) 253-8998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
02/03/2026
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