Organization
EUGENE C DAVENPORT
Active
Other names
Davenport Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE CARROLL DAVENPORT (OWNER)
(252) 395-0263
Entity
Organization
Contact information
Practice address
1327 ECHO LAKE LN, ROCKY MOUNT, NC 27803-2564
(252) 395-0263
Mailing address
1327 ECHO LAKE LN, ROCKY MOUNT, NC 27803-2564
(252) 395-0263
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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