Provider Demographics
NPI:1891585261
Name:DAVIS, ANJOLINA LOUISE
Entity type:Individual
Prefix:
First Name:ANJOLINA
Middle Name:LOUISE
Last Name:DAVIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6128 HOLBURN RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-4851
Mailing Address - Country:US
Mailing Address - Phone:440-502-0917
Mailing Address - Fax:
Practice Address - Street 1:6128 HOLBURN RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-4851
Practice Address - Country:US
Practice Address - Phone:440-502-0917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker