Individual provider · Type 1 NPI
Willie Davis Jr., RKT
Developmentally Disabled Services Day Training Agency · Hattiesbiurg, MS
Practice location
701 Duke Ave.
Hattiesbiurg, MS 39401
Mailing address
701 Duke Ave
Hattiesburg, MS 39401-4060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency Primary | 251C00000X | 1907 (IL) |
Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…
About NPI 1558778936
Willie Davis Jr., RKT's National Provider Identifier is 1558778936, issued on Jul 17, 2014. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Hattiesbiurg, MS. The record was last updated on Jul 17, 2014.