Individual
SHANAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 HAVERFORD CT, HAMPTON, VA 23666-5757
(860) 924-9244
Mailing address
130 HAVERFORD CT, HAMPTON, VA 23666-5757
(860) 924-9244
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1401136242
VA
Other
Enumeration date
10/23/2025
Last updated
10/24/2025
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