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NPI Code Detail

MEDICARE: DAVMOS HEALTHCARE SERVICES LLC

MEDICARE: DAVMOS HEALTHCARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13140N1450XPediatric Skilled Nursing Facility

General Provider Information

NPI Number : 1245955574
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVMOS HEALTHCARE SERVICES LLC
Provider Business Mailing Address
First Line : 10770 COLUMBIA PIKE STE 300
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-4439
Country : US
Telephone Number : 240-770-7900
Fax Number : 240-770-7900
Provider Business Practice Location Address
First Line : 10770 COLUMBIA PIKE STE 300
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-4439
Country : US
Telephone Number : 240-770-7900
Fax Number : 240-770-7900
Authorized Official
Title or Position : CEO/OWNER/ADMINISTRATOR
Name : DEBORAH O EMMANUEL
Credential :
Telephone Number : 240-770-7900
Provider Enumeration Date : 10/10/2022
Last Update Date : 10/10/2022

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