Provider Demographics
NPI:1659190510
Name:DAVIS GLOBAL ENTERPRISES CORPORATION
Entity type:Organization
Organization Name:DAVIS GLOBAL ENTERPRISES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:585-773-0588
Mailing Address - Street 1:214 SANNITA DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3616
Mailing Address - Country:US
Mailing Address - Phone:585-773-0588
Mailing Address - Fax:
Practice Address - Street 1:214 SANNITA DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3616
Practice Address - Country:US
Practice Address - Phone:585-773-0588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care