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Organization

DAVIS & ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURA DAVIS LLOYD (OWNER)
(910) 826-7648
Entity
Organization

Contact information

Practice address
1108 QUAILMEADOW DR, FAYETTEVILLE, NC 28314-5936
(910) 864-4300
Mailing address
6504 BONNIE BELL LN, FAYETTEVILLE, NC 28314-0302

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-026-157
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340607U
NC
Enumeration date
01/04/2007
Last updated
08/22/2020
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