Provider Demographics
NPI:1841798824
Name:DAVID ENTERPRISES, LLC
Entity Type:Organization
Organization Name:DAVID ENTERPRISES, LLC
Other - Org Name:HEALTHSOURCE OF FOLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-943-8630
Mailing Address - Street 1:1320 N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2232
Mailing Address - Country:US
Mailing Address - Phone:251-943-8630
Mailing Address - Fax:
Practice Address - Street 1:1320 N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2232
Practice Address - Country:US
Practice Address - Phone:251-943-8630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty