Provider Demographics
NPI:1376358713
Name:DAVIS, VIOLET JOY
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:JOY
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VIOLET
Other - Middle Name:JOY
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5616 SCRIBNER RD
Mailing Address - Street 2:
Mailing Address - City:PIERPONT
Mailing Address - State:OH
Mailing Address - Zip Code:44082-9768
Mailing Address - Country:US
Mailing Address - Phone:440-855-7850
Mailing Address - Fax:
Practice Address - Street 1:5616 SCRIBNER RD
Practice Address - Street 2:
Practice Address - City:PIERPONT
Practice Address - State:OH
Practice Address - Zip Code:44082-9768
Practice Address - Country:US
Practice Address - Phone:440-855-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health