Demetrius Maurice Davis
Case Manager/Care Coordinator in Cleveland, OH. Individual provider (NPI-1).
NPI number1164032991
StatusActive
Last updated in NPPESAug 6, 2020
Details
- NPI
- 1164032991
- Entity type
- Individual (NPI-1)
- Name
- Demetrius Maurice Davis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2020
- Certification date
- Aug 6, 2020
- Last updated
- Aug 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
12305 Arlington AveCleveland, OH 44108-2359
Phone 216-451-5020
Mailing address
14525 Milverton RdCleveland, OH 44120-4169
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