person
Kenyatta Necole Davis
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, North Carolina
NPI 1801516695

Kenyatta Necole Davis is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Greensboro, NC. Kenyatta Necole Davis practices in Greensboro, NC. The NPI Number for Kenyatta Necole Davis is 1801516695 and holds a License No. MHL-041-1232 (North Carolina).

The current practice location address for Kenyatta Necole Davis is 1995 Blue Rock Ct, Greensboro, NC and can be reached out via phone at 336-340-6399.

Location: 1995 Blue Rock Ct, Greensboro, NC, 27405-1834
person
Provider Profile Details
NPI Number
1801516695
Provider Name
Kenyatta Necole Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1995 Blue Rock Ct, Greensboro, NC, 27405-1834
Phone Number
336-340-6399
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1995 Blue Rock Ct
City
State
Zip
27405-1834
Phone Number
336-340-6399
Fax Number
person
Provider Business Mailing Address Details
Address
1995 Blue Rock Ct
City
State
Zip
27405-1834
Phone Number
336-340-6399
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL-041-1232 (North Carolina)
Definition
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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