Individual
KEYSHAUN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3941 CHARLESTON HWY LOT 140, WEST COLUMBIA, SC 29172-2915
(909) 361-2192
Mailing address
3941 CHARLESTON HWY LOT 140, WEST COLUMBIA, SC 29172-2915
(909) 361-2192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
SC
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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