Organization
DAVIS NURSING HOME, INC.
Active
Other names
Davis Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE DAVIS NHA (CEO)
(570) 474-6377
Entity
Organization
Contact information
Practice address
185 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1921
(570) 474-6377
(570) 474-6712
Mailing address
185 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1921
(570) 474-6377
(570) 474-6712
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007448900002
—
PA
Enumeration date
08/03/2005
Last updated
08/22/2020
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