| NPI | 1598318917 |
|---|---|
| Doing Business As | ST DAVIS HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | NOMSO DAVID EGWIM Administrator 424-382-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-10-18 |