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CORNELIA NIXON DAVIS, INC.

Assisted Living Facility

Wilmington, North Carolina

Provider NPI: 1851396535

Organization Information:
Organization Name:  CORNELIA NIXON DAVIS, INC.


Practice Location:
1007 PORTERS NECK RD  WILMINGTON, NC 28411 US
Tel: 910-686-6462  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NCHAL065020

Other Provider Identifiers:

IssuerNumberStateType
7804910NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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