MEDICARE: HOEFER & DAVIS LLP

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1811740871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOEFER & DAVIS LLP

Provider Business Mailing Address
First Line	:	885 GOLD HILL RD # 3014
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-7946
Country	:	US
Telephone Number	:	803-219-1168
Fax Number	:

Provider Business Practice Location Address
First Line	:	885 GOLD HILL RD # 3014
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-7946
Country	:	US
Telephone Number	:	803-219-1168
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	MS. SHONDA DAVIS
Credential	:
Telephone Number	:	404-401-4960

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	08/27/2024

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