Healthcare Provider Details

I. General information

NPI: 1376358713
Provider Name (Legal Business Name): VIOLET JOY DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VIOLET JOY TAYLOR

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5616 SCRIBNER RD
PIERPONT OH
44082-9768
US

IV. Provider business mailing address

5616 SCRIBNER RD
PIERPONT OH
44082-9768
US

V. Phone/Fax

Practice location:
  • Phone: 440-855-7850
  • Fax:
Mailing address:
  • Phone: 440-855-7850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: