Provider Demographics
NPI:1982913703
Name:NANCY J. DAVIS
Entity Type:Organization
Organization Name:NANCY J. DAVIS
Other - Org Name:E & N HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:JERRELL
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-530-2122
Mailing Address - Street 1:9750 RAVENSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-3130
Mailing Address - Country:US
Mailing Address - Phone:281-530-2122
Mailing Address - Fax:
Practice Address - Street 1:9750 RAVENSWORTH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3130
Practice Address - Country:US
Practice Address - Phone:281-530-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child