MEDICARE: DAVIS MANAGED SERVICES, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1437589850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVIS MANAGED SERVICES, INC.

Provider Business Mailing Address
First Line	:	2312 BEACON HILL DR
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-8454
Country	:	US
Telephone Number	:	817-729-4835
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 BEACON HILL DR
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-8454
Country	:	US
Telephone Number	:	817-729-4835
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	KRISTOPHER SCOTT DAVIS
Credential	:
Telephone Number	:	817-729-4835

Provider Enumeration Date	:	11/21/2013
Last Update Date	:	11/21/2013

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