Organization · Type 2 NPI
Lisa Davis
Adult Care Home Facility · Clearwater, FL
NPI number
1619318318
Active
Practice location
1114 Engman St
Clearwater, FL 33755-3219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6905967 (FL) |
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.
Other adult care home facility providers in Clearwater
About NPI 1619318318
Lisa Davis's National Provider Identifier is 1619318318, issued on Jul 10, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Clearwater, FL. The record was last updated on Jul 10, 2013.