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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ELIJAH DAVIS

Active Sole Proprietor

MR. ELIJAH DAVIS is a Assisted Living Facility healthcare provider located in COLUMBIA, South Carolina. NPI 1699928564 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · COLUMBIA, SC

Registration Details

NPI Number
1699928564
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2008 (17.824730234759 yrs)
Last Updated
Oct 23, 2008
Licenses
CRC-240 (SC)
CRC-538 (SC)
Sole Proprietor
Yes

Practice Information

Address
2232 HEYWARD BROCKINGTON ROAD
COLUMBIA, SC, 29203
Browse SC providers · Browse ZIP 29203
Phone
8037861047
Fax
8037141731
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Assisted Living Facility

Other Assisted Living Facility Providers in COLUMBIA, SC

Name Credential NPI
RHONDA TAYLOR-STRAHL 1598357089
ESTHER HUTTO 1679324164
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.