Eddie Benjamin Davis III
Eddie Benjamin Davis III is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woodbury, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1966 Melvina RdWoodbury, NJ 08096-5613
Phone: (856) 693-4446
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1699305086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2020 |
| Last updated in NPPES | January 28, 2020 |
| Certification date | January 28, 2020 |
| Mailing address | 1966 Melvina Rd, Woodbury, NJ 08096-5613 |
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