Organization
DAVILLA HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENTILLE DUMISHE (CEO)
(319) 491-6112
Entity
Organization
Contact information
Practice address
5920 WHEATLAND DR SW, CEDAR RAPIDS, IA 52404-7362
(319) 491-6112
Mailing address
5920 WHEATLAND DR SW, CEDAR RAPIDS, IA 52404-7362
(319) 491-6112
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/20/2024
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