DAVCO REST HOME LLC NPI 1447588629

NPI Information

DAVCO REST HOME, LLC is an assisted living facility in Owensboro, KY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DAVCO REST HOME, LLC NPI is 1447588629. The provider is registered as an organization entity type.

The provider's business location address is:

2526 W 10TH ST
OWENSBORO, KY
ZIP 42301-738
Phone: (270) 684-1705
Fax: (270) 684-0963

The provider's authorized official is Harry D Simpson .
The authorized official title is Owner and has the following contact phone number (270) 683-5571.

The CLIA number assigned to this NPI record is 18D1012488 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/25/2009 and was last updated on 11/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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