MEDICARE: DAVIS HEALTH CARE SERVICES

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
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356697684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVIS HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	1106 WHISPERING PINES RD
Second Line	:	B
City	:	ALBANY
State	:	GA
Zip	:	31707-3542
Country	:	US
Telephone Number	:	229-888-7304
Fax Number	:	229-888-7305

Provider Business Practice Location Address
First Line	:	1106 WHISPERING PINES RD
Second Line	:	B
City	:	ALBANY
State	:	GA
Zip	:	31707-3542
Country	:	US
Telephone Number	:	229-888-7304
Fax Number	:	229-888-7305

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. SAMANTHA RAMONA DAVIS
Credential	:
Telephone Number	:	229-888-7304

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	07/24/2012

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Directions to “DAVIS HEALTH CARE SERVICES ” Practice Location

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