Individual
SYLVIA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 LINCOLNWOOD LN APT C, INDIANAPOLIS, IN 46260-4649
(463) 710-5465
Mailing address
825 LINCOLNWOOD LN APT C, INDIANAPOLIS, IN 46260-4649
(463) 710-5465
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
23-016395-1
IN
3747A0650X
Attendant Care Provider
Primary
23-016395-1
IN
376J00000X
Homemaker
23-016395-1
IN
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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