Eugene C Davenport
NPI #1437609179 in Rocky Mount, North Carolina
Provider Information
- NPI Number
- 1437609179
- Entity Type
- Organization
- Organization Name
- Eugene C Davenport
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 6, 2016
- Last Updated
- Oct 6, 2016
Practice Location
- Address
- 1327 ECHO LAKE LN
- City
- Rocky Mount
- State
- North Carolina
- ZIP Code
- 27803-2564
- Phone
- (252) 395-0263
Authorized Official
- Name
- EUGENE CARROLL DAVENPORT
- Title
- OWNER
- Phone
- (252) 395-0263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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