Organization · NPI-2
Cornelia Nixon Davis, INC.
Skilled Nursing Facility · Wilmington, NC
NPI number1841697422
StatusActive
Last updated in NPPESSep 14, 2018
Details
- NPI
- 1841697422
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornelia Nixon Davis, INC.
- Organization subpart
- Yes
- Enumeration date
- Nov 26, 2014
- Last updated
- Sep 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | NH0645 | NC | Yes |
Other names
- Davis Health And Wellness At Cambridge Village (Doing Business As)
Practice location
83 Cavalier Dr.200
Wilmington, NC 28405-4444
Phone 910-319-2111 · Fax 910-686-7592
Mailing address
1011 Porters Neck RdWilmington, NC 28411-9196
Phone 910-319-2111 · Fax 910-686-7592
Authorized official
Charles Allen Long
Executive Director (Ceo)
9106867195
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