Ebony Davis
Home Health Aide in Flint, MI. Individual provider (NPI-1).
NPI number1679363857
StatusActive
Last updated in NPPESMay 9, 2025
Details
- NPI
- 1679363857
- Entity type
- Individual (NPI-1)
- Name
- Ebony Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2025
- Certification date
- May 9, 2025
- Last updated
- May 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
3701 Penbrook Ln Apt 5Flint, MI 48507-1490
Phone 810-410-6641
Mailing address
3701 Penbrook Ln Apt 5Flint, MI 48507-1490
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