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Lisa Davis
Adult Care Home Facility in Clearwater, Florida
NPI 1619318318

Lisa Davis is an Adult Care Home Facility based in Clearwater, FL and is specialized in Adult Care Home. Lisa Davis practices in Clearwater, FL. The NPI Number for Lisa Davis is 1619318318 and holds a License No. 6905967 (Florida).

The current practice location address for Lisa Davis is 1114 Engman St, Clearwater, FL and can be reached out via phone at 727-443-0368.

Location: 1114 Engman St, Clearwater, FL, 33755-3219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619318318
Provider Name
Lisa Davis
Credential
Provider Entity Type
Organization
Address
1114 Engman St, Clearwater, FL, 33755-3219
Phone Number
727-443-0368
Fax Number
Provider Enumeration Date
07/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142585400 05 FL
institution
Provider Business Practice Location Address Details
Address
1114 Engman St
City
Clearwater
State
Florida
Zip
33755-3219
Phone Number
727-443-0368
Fax Number
person
Provider Business Mailing Address Details
Address
1114 Engman St
City
Clearwater
State
Florida
Zip
33755-3219
Phone Number
727-443-0368
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6905967 (Florida)
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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