Individual provider · Type 1 NPI
Mwindaace Davis
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Broken Arrow, OK
Practice location
3304 W Galveston Pl
Broken Arrow, OK 74012-3255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1598166803
Mwindaace Davis's National Provider Identifier is 1598166803, issued on Sep 7, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Broken Arrow, OK. The record was last updated on Sep 7, 2014.