Pamela D Davis
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Amanda, OH
NPI 1962005744 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1962005744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 2456168 (OH)
- Practice address
- 9186 Chillicothe Lancaster Rd SW
Amanda, OH 43102-9534 - Phone
- (614) 565-5733
- NPI assigned
- Nov 16, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2456168 | OH | MD | Developmentally Disabled Services Day Training Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 2456168 | OH | Yes |
Addresses
Primary practice location
9186 Chillicothe Lancaster Rd SW
Amanda, OH 43102-9534
Mailing address
9186 Chillicothe Lancaster Rd SW
Amanda, OH 43102-9534
Phone (614) 565-5733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2456168 | Medicaid | OH |
Other providers in Amanda, OH
- Jacqueline Kay Bailey
- Kimberly Board
- Lynn Burdett
- Lisa Renee Bussert
- Stacy Byers
- Dylan Louis Ekstrand
- Fairfield Comminity Health Center
- Leslie Marie Fletcher
- Wendi L Fletcher
- Brandon Hampton
All providers in Amanda, OH · Developmentally Disabled Services Day Training Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.