Individual provider · Type 1 NPI
Matthew Stancil Davenport
Adult Care Home Facility · Nashville, NC
NPI number
1114563673
Active
Practice location
2318 N Nc Highway 58
Nashville, NC 27856-9007
Fax (252) 459-2508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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.
About NPI 1114563673
Matthew Stancil Davenport's National Provider Identifier is 1114563673, issued on Nov 20, 2019. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Nashville, NC. The record was last updated on Nov 20, 2019.