Lafawn Davis

NPI #1003074659 in East Cleveland, Ohio

Provider Information

NPI Number: 1003074659
Entity Type: Organization
Organization Name: Lafawn Davis
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 30, 2008
Last Updated: May 30, 2008

Practice Location

Address: 1872 TAYLOR RD
Address 2: 1872 TAYLOR RD
City: East Cleveland
State: Ohio
ZIP Code: 44112-2829
Phone: (216) 681-0924

Authorized Official

Name: LAFAWN M DAVIS
Title: INDEPENDENT PROVIDER
Phone: (216) 681-0924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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