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NPI Code Detail

MEDICARE: SELAH DAVIS

MEDICARE:   SELAH  DAVIS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1457585283
Entity Type Code : Individual
Provider Name (Legal Business Name) : SELAH DAVIS
Provider Business Mailing Address
First Line : 586 GRACE AVE
Second Line :
City : AKRON
State : OH
Zip : 44320-2917
Country : US
Telephone Number : 330-535-9268
Fax Number :
Provider Business Practice Location Address
First Line : 586 GRACE AVE
Second Line :
City : AKRON
State : OH
Zip : 44320-2917
Country : US
Telephone Number : 330-535-9268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2009
Last Update Date : 05/07/2009

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Directions to “ SELAH DAVIS ” Practice Location

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