Organization
DAVIS ELDERLY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA DAVIS SIMPSON (PRESIDENT)
(812) 866-2532
Entity
Organization
Contact information
Practice address
5139 S HANOVER SALUDA RD, HANOVER, IN 47243-9212
(812) 866-2532
(812) 866-2530
Mailing address
5139 S HANOVER SALUDA RD, HANOVER, IN 47243-9212
(812) 866-2532
(812) 866-2530
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
200884710 C
IN
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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