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NPI Code Detail

MEDICARE: BEVERLY DAVIS

MEDICARE:   BEVERLY  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 : 1538052451
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY DAVIS
Provider Business Mailing Address
First Line : 3413 FEDERAL RIDGE RD
Second Line :
City : SAINT MARYS
State : WV
Zip : 26170-7086
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3413 FEDERAL RIDGE RD
Second Line :
City : SAINT MARYS
State : WV
Zip : 26170-7086
Country : US
Telephone Number : 304-588-7747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2025
Last Update Date : 05/30/2025

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Directions to “ BEVERLY DAVIS ” Practice Location

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