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Gustavia Davis, LCOTA

NPI 1205057049 · on the registry since 2007 · sole proprietor

Practice

Address
1306 W Admiral Doyle Dr
New Iberia, LA 70560
Phone
(337) 364-5472
Organisation at this address
Belle Teche Nursing & Rehabilitation Center, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana