Organization · NPI-2
Cornelia Nixon Davis, INC.
Skilled Nursing Facility · Wilmington, NC
NPI number1356346191
StatusActive
Last updated in NPPESOct 19, 2018
Details
- NPI
- 1356346191
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornelia Nixon Davis, INC.
- Organization subpart
- No
- Enumeration date
- Jun 17, 2005
- Last updated
- Oct 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | NH0097 | NC | Yes |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – |
Other names
- Davis Health Care Center (Doing Business As)
Practice location
1011 Porters Neck RdWilmington, NC 28411-9196
Phone 910-686-7195 · Fax 910-686-7592
Mailing address
1011 Porters Neck RdWilmington, NC 28411-9196
Phone 910-686-7195 · Fax 910-686-7592
Authorized official
Charles Allen Long
Executive Director
9106867195
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