Individual provider · Type 1 NPI
Mary Ann Davis
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Longview, TX
Practice location
803 Oakdale Ave
Longview, TX 75602-2049
Fax (903) 295-5856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 00238902 (TX) |
| Physical Disabilities Residential Treatment Facility | 320700000X | 00238902 (TX) |
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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Longview
About NPI 1730464611
Mary Ann Davis's National Provider Identifier is 1730464611, issued on Oct 11, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Longview, TX. The record was last updated on Oct 11, 2011.