Mrs. Tommie Nell Davis
Mrs. Tommie Nell Davis is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2009
Practice location Address checks out
1521 Sunny Glen StFort Worth, TX 76134-4853
Phone: (817) 238-3961
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (TX) |
|---|
Record details
| NPI number | 1689811135 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 20, 2009 |
| Last updated in NPPES | January 20, 2009 |
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