Kenyatta Necole Davis
Kenyatta Necole Davis is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2022
Practice location Address checks out
1995 Blue Rock CtGreensboro, NC 27405-1834
Phone: (336) 340-6399
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL-041-1232 (NC) |
|---|
Record details
| NPI number | 1801516695 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2022 |
| Last updated in NPPES | August 31, 2022 |
| Certification date | August 31, 2022 |
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