Elda Jean Davis
Elda Jean Davis is an Attendant Care Provider in Park Forest, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
208 Juniper StPark Forest, IL 60466
Phone: (708) 202-8387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1003464926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 4, 2019 |
| Last updated in NPPES | September 4, 2019 |
| Mailing address | Po Box 488, Park Forest, IL 60466 |