| NPI | 1437609179 |
|---|---|
| Doing Business As | DAVENPORT FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | EUGENE CARROLL DAVENPORT Owner 252-395-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |