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ASHLEY ROCHELLE PHIFER-DAVIS
>> Residential Treatment Facility, Emotionally Disturbed Children >> Residential Treatment FacilitiesRegistrant NPI Number: 1255082087
Individual Registrant: ASHLEY ROCHELLE PHIFER-DAVIS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
208 LONG CREEK RD BESSEMER CITY, NC 28016-9627 US
Tel: 336-504-8680 Fax: --
Tel: 336-504-8680 Fax: --
Contact information for business:
5000 HAYSTACK HILL RD WINSTON SALEM, NC 27106-4200 US
Tel: 336-504-8680 Fax: --
Tel: 336-504-8680 Fax: --
Registration Information:
NPI: 1255082087
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facilities Residential Treatment Facility, Emotionally Disturbed Children |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
