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1114563673
MATTHEW STANCIL DAVENPORT
NASHVILLE, NC
NPI
1114563673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
MATTHEW STANCIL DAVENPORT
2318 N NC HIGHWAY 58
NASHVILLE, NC 27856-9007
Phone number: 252-813-0027
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Mailing Address
MATTHEW STANCIL DAVENPORT
2318 N NC HIGHWAY 58
NASHVILLE, NC 27856-9007
Phone number: 252-813-0027
Copy
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