Pennsylvania
Department of State
THOMAS RANDOLPH DAVIS
Nursing Home Administrator
License number
NH003778L
Date granted
12/07/1992
Date expires
06/30/2016
Class
Nursing Home Administrator
Status
Active
Address
Indiana PA 15701
palicensing.org
ID 16916231
LAST UPDATED 2024-03-29 09:22:18 UTC
LAST UPDATED 2024-03-29 09:22:18 UTC
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