Organization
DAVIS HEALTHCARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DAVIS REGISTERED NURSE (CHIEF EXECUTIVE OFFICER)
(601) 668-4354
Entity
Organization
Contact information
Practice address
6735 I 55 S STE 2A, BYRAM, MS 39272-9162
(601) 372-3066
Mailing address
413 PARKER DR, CLINTON, MS 39056-4519
(601) 668-4354
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/26/2020
Last updated
08/09/2022
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