NPI | 1316935588 |
---|---|
Doing Business As | DAVIS LIFE CARE CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T SHEPARD Executive Director 870-541-0342 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 658) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2020-08-22 |