Organization
GRAY-DAVIS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OTELIA TRIPLETT GRAY (OWNER)
(434) 983-3884
Entity
Organization
Contact information
Practice address
585 SEVEN ELEVEN RD, CUMBERLAND, VA 23040-2945
(434) 983-3884
(434) 983-3883
Mailing address
585 SEVEN ELEVEN RD, CUMBERLAND, VA 23040-2945
(434) 983-3884
(434) 983-3883
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/13/2015
Last updated
01/27/2015
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