Individual provider · Type 1 NPI

Lisa Davis

Adult Care Home Facility · Dayton, OH

NPI number 1134043359 Active

Practice location

2104 Willow Oak Ct
Dayton, OH 45439-0003

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone 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.

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About NPI 1134043359

Lisa Davis's National Provider Identifier is 1134043359, issued on Aug 10, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Dayton, OH. The record was last updated on Aug 10, 2026.