MISS MARY ANN DAVIS NPI 1730464611

NPI Information

NPI: 1730464611
Provider Name: MISS MARY ANN DAVIS
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Individual
Address:
803 OAKDALE AVE
LONGVIEW, TX
ZIP 75602
Phone: (903) 917-3118
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MISS Mary Ann Davis is a residential treatment facility, intellectual and/or developmental disabilities in Longview, TX. The provider is 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. MISS Mary Ann Davis NPI is 1730464611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

803 OAKDALE AVE
LONGVIEW, TX
ZIP 75602-049
Phone: (903) 917-3118
Fax: (903) 295-5856

The enumeration date for this NPI number is 10/11/2011 and was last updated on 10/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		00238902	TEXAS	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		00238902	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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