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Matthew Stancil Davenport
Adult Care Home Facility in Nashville, North Carolina
NPI 1114563673

Matthew Stancil Davenport is an Adult Care Home Facility based in Nashville, NC and is specialized in Adult Care Home. Matthew Stancil Davenport practices in Nashville, NC. The NPI Number for Matthew Stancil Davenport is 1114563673 and holds a License No. (North Carolina).

The current practice location address for Matthew Stancil Davenport is 2318 N Nc Highway 58, Nashville, NC and can be reached out via phone at 252-813-0027 and via fax at 252-459-2508.

Location: 2318 N Nc Highway 58, Nashville, NC, 27856-9007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114563673
Provider Name
Matthew Stancil Davenport
Credential
Provider Entity Type
Individual
Gender
Male
Address
2318 N Nc Highway 58, Nashville, NC, 27856-9007
Phone Number
252-813-0027
Fax Number
252-459-2508
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2318 N Nc Highway 58
City
Nashville
State
North Carolina
Zip
27856-9007
Phone Number
252-813-0027
Fax Number
252-459-2508
person
Provider Business Mailing Address Details
Address
2318 N Nc Highway 58
City
Nashville
State
North Carolina
Zip
27856-9007
Phone Number
252-813-0027
Fax Number
252-459-2508
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
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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