Individual provider · Type 1 NPI
Elijah Davis
Assisted Living Facility · Columbia, SC
NPI number
1699928564
Active
Practice location
2232 Heyward Brockington Road
Columbia, SC 29203
Fax (803) 714-1731
Mailing address
P.o. Box 3273
Columbia, SC 29230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | CRC-240 (SC) |
| Assisted Living Facility | 310400000X | CRC-538 (SC) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Columbia
About NPI 1699928564
Elijah Davis's National Provider Identifier is 1699928564, issued on Oct 23, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Columbia, SC. The record was last updated on Oct 23, 2008.