Qarquasia Davis

Individual provider Active NPI Home Modifications Contractor · Madison, FL

NPI 1154712883 · NPPES record last updated Feb 17, 2015

Key facts

NPI
1154712883
Entity type
Individual (NPI type 1)
Primary specialty
Home Modifications Contractor 171WH0202X
Practice address
287 NE Meadow Run Dr
Madison, FL 32340-7135
Phone
(850) 869-0540
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X Yes

Addresses

Primary practice location

287 NE Meadow Run Dr
Madison, FL 32340-7135

Mailing address

287 NE Meadow Run Dr
Madison, FL 32340-7135
Phone (850) 869-0540

Other providers in Madison, FL

All providers in Madison, FL · Home Modifications Contractor in Florida

Sources for this page

Verify at the official NPI Registry.