Organization · NPI-2

Davis Nursing Home, INC.

Skilled Nursing Facility · Mountain Top, PA

NPI number1760483440

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1760483440
Entity type: Organization (NPI-2)
Legal business name: Davis Nursing Home, INC.
Organization subpart: No
Enumeration date: Aug 3, 2005
Last updated: Aug 22, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	040802	PA	Yes

Other names

Davis Manor (Doing Business As)

Practice location

185 S Mountain Blvd
Mountain Top, PA 18707-1921

Phone 570-474-6377 · Fax 570-474-6712

Mailing address

185 S Mountain Blvd
Mountain Top, PA 18707-1921

Phone 570-474-6377 · Fax 570-474-6712

Authorized official

Charlene Davis
Ceo
5704746377

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