Most Relevant Information
Provider Data
| NPI Number: | 1003473703 |
| Provider Name: | VICTORIA DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/29/2019 |
| Last Updated: | 06/23/2022 |
Provider Practice Location
6140 S BROADWAY
LORAIN
OH
440533821
Practice Location Phone/Fax
| Phone: | 4402337232 |
| Fax: | 4402044315 |
Provider Mailing Location
6140 S BROADWAY
LORAIN
OH
440533891
Provider Mailing Phone/Fax
| Phone: | 4402337232 |
| Fax: |