Shameka L Davis
Custodial Care Facility, Adult Care Home in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1891066676
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1891066676
- Entity type
- Individual (NPI-1)
- Name
- Shameka L Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2012
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
5336 Laquinta Hills StNorth Las Vegas, NV 89081-2930
Phone 702-518-4331
Mailing address
5336 La Quinta Hills StNorth Las Vegas, NV 89081-2930
Phone 702-518-4331
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