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SHIRLEY DAVIS NPI 1619314432


NPI Information

NPI: 1619314432
Provider Name: SHIRLEY DAVIS
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
1007 MARY ST
WAYCROSS, GA
ZIP 31503
Phone: (912) 449-7111
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SHIRLEY DAVIS is an assisted living and mental illness assisted living facility in Waycross, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. SHIRLEY DAVIS NPI is 1619314432. The provider is registered as an organization entity type.

The provider's business location address is:

1007 MARY ST
WAYCROSS, GA
ZIP 31503-823
Phone: (912) 449-7111
Fax: (912) 449-7060

The provider's authorized official is Wendy Hughes .
The authorized official title is Cfo and has the following contact phone number (912) 449-7111.

The enumeration date for this NPI number is 6/3/2013 and was last updated on 6/3/2013.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.