MEDICARE: ASHLEY J 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881424992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY J DAVIS

Provider Business Mailing Address
First Line	:	843 E 149TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-3723
Country	:	US
Telephone Number	:	216-482-6031
Fax Number	:

Provider Business Practice Location Address
First Line	:	843 E 149TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-3723
Country	:	US
Telephone Number	:	216-482-6031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/05/2024

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Directions to “ ASHLEY J DAVIS ” Practice Location

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