Organization · Type 2 NPI

Davenport Family Services LLC

Intellectual Disabilities Intermediate Care Facility · Charlotte, NC

NPI number 1225810609 Active

Practice location

3412 Thistle Bloom Ct
Charlotte, NC 28269-1309

Call (980) 384-8103 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Illness Intermediate Care Facility 310500000XNone listed
Adult Care Home Facility 311ZA0620XNone listed
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Respite Care 385H00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1225810609

Davenport Family Services LLC's National Provider Identifier is 1225810609, issued on Oct 19, 2023. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 19, 2023.