person
Mr. Elijah Davis
Assisted Living Facility in Columbia, South Carolina
NPI 1699928564

Elijah Davis is an Assisted Living Facility based in Columbia, SC. Elijah Davis practices in Columbia, SC. The NPI Number for Elijah Davis is 1699928564 and holds a License No. CRC-240 (South Carolina).

The current practice location address for Elijah Davis is 2232 Heyward Brockington Road, Columbia, SC and can be reached out via phone at 803-786-1047 and via fax at 803-714-1731. You can also correspond with Elijah Davis through the mailing address at P.O. BOX 3273, COLUMBIA, SC - 29230 (mailing address contact number: 803-786-1047).

Location: 2232 Heyward Brockington Road, Columbia, SC, 29230
person
Provider Profile Details
NPI Number
1699928564
Provider Name
Elijah Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2232 Heyward Brockington Road, Columbia, SC, 29230
Phone Number
803-786-1047
Fax Number
803-714-1731
Provider Enumeration Date
10/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2232 Heyward Brockington Road
City
State
Zip
29203
Phone Number
803-786-1047
Fax Number
803-714-1731
person
Provider Business Mailing Address Details
Address
P.o. Box 3273
City
State
Zip
29230
Phone Number
803-786-1047
Fax Number
803-714-1731
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
CRC-240 (South Carolina)
Definition
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.
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