Davison J Benton

Individual provider Active NPI Home Health Agency · Winslow, AZ

NPI 1952148223 · NPPES record last updated Jul 12, 2024

Key facts

NPI
1952148223
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
Practice address
PO Box 7231
Winslow, AZ 86047-7231
Phone
(928) 419-9867
NPI assigned
Jul 12, 2024
Sex
Male
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 Agency 251E00000X Yes

Addresses

Primary practice location

PO Box 7231
Winslow, AZ 86047-7231

Mailing address

PO Box 7231
Winslow, AZ 86047-7231
Phone (928) 419-9867

Other providers in Winslow, AZ

All providers in Winslow, AZ · Home Health Agency in Arizona

Sources for this page

Verify at the official NPI Registry.