Davenport Residential Care Home

NPI #1114171881 in Mart, Texas

Provider Information

NPI Number
1114171881
Entity Type
Organization
Organization Name
Davenport Residential Care Home
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 7, 2008
Last Updated
Nov 7, 2008

Practice Location

Address
1649 LCR 310
City
Mart
State
Texas
ZIP Code
76664-5207
Phone
(254) 344-2260

Authorized Official

Name
MRS. NANCY ANN DAVENPORT
Title
ADMINISTRATOR
Phone
(254) 344-2260

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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