Ticaya Davis

Individual provider Active NPI Home Health Aide · Mansfield, LA

NPI 1861139735 · NPPES record last updated May 12, 2022

Key facts

NPI
1861139735
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
946 Schley St
Mansfield, LA 71052-3733
Phone
(318) 505-2587
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
Yes

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 Health Aide 374U00000X Yes

Addresses

Primary practice location

946 Schley St
Mansfield, LA 71052-3733

Mailing address

946 Schley St
Mansfield, LA 71052-3733
Phone (318) 505-2587

Other providers in Mansfield, LA

All providers in Mansfield, LA · Home Health Aide in Louisiana

Sources for this page

Verify at the official NPI Registry.