Davis Family Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-098-166 Issued in NC

Legal business name

DAVIS FAMILY CARE

Practice address

6604 E US 264 Alt
Wilson, NC 27893

Phone

(252) 409-0080

Fax

(252) 409-0095

NPI assigned

Nov 4, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latanya Davis, MAED

Title

Executive Director

Phone

(252) 409-0080

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1578840567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 QUEENSFERRY DR NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961492",
            "telephone_number": "252-258-6666",
            "fax_number": "252-237-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 E US 264 ALT",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-409-0080",
            "fax_number": "252-409-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-409-0080",
        "authorized_official_credential": "MAED"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-098-166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candis Sherell Danzy
• Brittany Boone Darby, WHNP-BC
• Sheren Dari, RDN
• Nancy H. Darling, SLP
• Tyrone David
• Latishia D Davis
• Alicia Dawson, PHARMD
• Amy Elizabeth Dean, CRNA
• Kitson Tevin Mitchell Jr Deane, MD
• Shannon Davis Deans, PTA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wilson, NC
• Providers in Wilson, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.