Individual provider · Type 1 NPI
Cassandra Davis
Adult Care Home Facility · Louisburg, NC
NPI number
1114554516
Active
Practice location
131 Huntington Rd
Louisburg, NC 27549
Fax (919) 729-0259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | FCL-035-033 (NC) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in Louisburg
About NPI 1114554516
Cassandra Davis's National Provider Identifier is 1114554516, issued on Mar 25, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Louisburg, NC. The record was last updated on Mar 25, 2020.