Miss. Mary Ann Davis
Miss. Mary Ann Davis is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
803 Oakdale AveLongview, TX 75602-2049
Phone: (903) 917-3118
Fax: (903) 295-5856
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 00238902 (TX) |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X · Licence 00238902 (TX) |
Record details
| NPI number | 1730464611 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2011 |
| Last updated in NPPES | October 11, 2011 |
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