NPI 1003464926

Elda Jean Davis

Practitioner Attendant Care Provider Park Forest, IL

Practice location

Address: 208 Juniper St, Park Forest, IL 60466
Phone: (708) 202-8387
Mailing address: PO Box 488, Park Forest, IL 60466

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1003464926
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2019
Record last updated: 4 Sep 2019

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.