Davis Supportive Living Home Inc.
NPI #1245746171 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1245746171
- Entity Type
- Organization
- Organization Name
- Davis Supportive Living Home Inc.
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Dec 14, 2017
- Last Updated
- Dec 14, 2017
Practice Location
- Address
- 1106 DUNCAN AVENUE
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37404
- Phone
- (423) 825-5210
Authorized Official
- Name
- LUBRON DAVIS
- Title
- ADMINISTRATOR
- Phone
- (423) 825-5210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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