MR. Elijah Davis
NPI #1699928564 in Columbia, South Carolina
Provider Information
- NPI Number
- 1699928564
- Entity Type
- Individual
- Name
- MR. Elijah Davis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 23, 2008
- Last Updated
- Oct 23, 2008
Practice Location
- Address
- 2232 HEYWARD BROCKINGTON ROAD
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203
- Phone
- (803) 786-1047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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