Organization · Type 2 NPI
Lafawn Davis
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · East Cleveland, OH
Practice location
1872 Taylor Rd, 1872 Taylor Rd
East Cleveland, OH 44112-2829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 2379886 (OH) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
About NPI 1003074659
Lafawn Davis's National Provider Identifier is 1003074659, issued on May 30, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in East Cleveland, OH. The record was last updated on May 30, 2008.