Individual provider · Type 1 NPI

Kenyatta Necole Davis

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Greensboro, NC

NPI number 1801516695 Active

Practice location

1995 Blue Rock Ct
Greensboro, NC 27405-1834

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	MHL-041-1232 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1801516695

Kenyatta Necole Davis's National Provider Identifier is 1801516695, issued on Aug 31, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Greensboro, NC. The record was last updated on Aug 31, 2022.