Organization
DAVIDSON HOMES, INC.
Active
Organization
DAVIDSON HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCREE DAVIDSON (PRESIDENT)
(828) 299-1720
Entity
Organization
Contact information
Practice address
19704 HIGHWAY 19, ANDREWS, NC 28901
(828) 321-1572
Mailing address
2084 US HIGHWAY 70, SWANNANOA, NC 28778-8211
(828) 299-1720
(828) 299-1773
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-020-039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408964
—
NC
Enumeration date
10/16/2012
Last updated
10/16/2012
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