Organization
DAVIE PARTNERS, INC.
Active
Other names
Davie Place
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA TUTTLE LOFLIN (CO-ADMINISTRATOR)
(336) 853-7670
Entity
Organization
Contact information
Practice address
337 HOSPITAL ST, MOCKSVILLE, NC 27028-2060
(336) 751-2175
(336) 751-0136
Mailing address
1025 LAMB RD, LEXINGTON, NC 27295-5229
(336) 853-7670
(336) 853-7671
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7804634
PROVIDER NUMBER
NC
Enumeration date
10/25/2006
Last updated
05/21/2009
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