Provider Demographics
NPI:1851990147
Name:DAVIS, NOEL
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 DUEBER AVE SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-1528
Mailing Address - Country:US
Mailing Address - Phone:330-481-3696
Mailing Address - Fax:
Practice Address - Street 1:2525 TILLER LN STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2267
Practice Address - Country:US
Practice Address - Phone:614-305-5151
Practice Address - Fax:614-283-5084
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide