NPI 1225810609

Davenport Family Services LLC

Organisation Intellectual Disabilities Intermediate Care Facility Charlotte, NC

Practice location

Address: 3412 Thistle Bloom CT, Charlotte, NC 28269-1309
Phone: (980) 384-8103

Authorised official

Name: Jermaine Davenport
Title: Ceo
Phone: (828) 279-4443

Registered specialties (5)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in North Carolina →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in North Carolina →

Mental Illness Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in North Carolina →

Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in North Carolina →

Respite Care

Respite Care Facility Taxonomy 385H00000X

Other Respite Care providers in North Carolina →

Registry record

NPI: 1225810609
Entity type: Organization
NPI issued: 19 Oct 2023
Record last updated: 19 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.