MEDICARE: SHAMEKA L DAVIS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251G00000X	Community Based Hospice Care Agency
2	376K00000X	Nurse's Aide
3	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1891066676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMEKA L DAVIS

Provider Business Mailing Address
First Line	:	5336 LA QUINTA HILLS ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2930
Country	:	US
Telephone Number	:	702-518-4331
Fax Number	:

Provider Business Practice Location Address
First Line	:	5336 LAQUINTA HILLS ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2930
Country	:	US
Telephone Number	:	702-518-4331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2012
Last Update Date	:	07/27/2023

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Directions to “ SHAMEKA L DAVIS ” Practice Location

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