MEDICARE: DAVIS HEALTH CARE, 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	3104A0630X	Assisted Living Facility (Behavioral Disturbances)	034032	MO

General Provider Information

NPI Number	:	1427269828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVIS HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2826 CAMPBELL ST.
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64109
Country	:	US
Telephone Number	:	816-753-4992
Fax Number	:	816-931-7380

Provider Business Practice Location Address
First Line	:	2826 CAMPBELL ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64109-1124
Country	:	US
Telephone Number	:	816-753-4992
Fax Number	:	816-931-7380

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. DANNY LEE DAVIS
Credential	:	ADMINISTRATOR
Telephone Number	:	816-753-4992

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	08/22/2020

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Directions to “DAVIS HEALTH CARE, INC. ” Practice Location

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