Provider Demographics
NPI:1801020128
Name:DAVIS, SEKARI WASHINGTON
Entity Type:Individual
Prefix:MRS
First Name:SEKARI
Middle Name:WASHINGTON
Last Name:DAVIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11762 S HARRELLS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2398
Mailing Address - Country:US
Mailing Address - Phone:225-291-4988
Mailing Address - Fax:225-291-4986
Practice Address - Street 1:11762 S HARRELLS FERRY RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2398
Practice Address - Country:US
Practice Address - Phone:225-291-4988
Practice Address - Fax:225-291-4986
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care