Lora Jean Davis, ARDMS, AFC
Lora Jean Davis, ARDMS, AFC is a Physical Disabilities Residential Treatment Facility in Dearborn, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
3307 Houston StDearborn, MI 48124-4159
Phone: (313) 278-2805
Fax: (313) 278-5243
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Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X (MI) |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X (MI) |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X (MI) |
Record details
| NPI number | 1255970430 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ARDMS , AFC |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2020 |
| Last updated in NPPES | February 4, 2022 |
| Certification date | February 4, 2022 |
| Mailing address | Po Box 2977, Southfield, MI 48037-2977 |
Other providers in Dearborn
-
Mrs. Zina Alsalik
19230 Ford Rd Apt 710, Dearborn, MI 48128-2000 · (313) 623-2992