MISS Mary Ann Davis

NPI #1730464611 in Longview, Texas

Provider Information

NPI Number
1730464611
Entity Type
Individual
Name
MISS Mary Ann Davis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Oct 11, 2011
Last Updated
Oct 11, 2011

Practice Location

Address
803 OAKDALE AVE
State
Texas
ZIP Code
75602-2049
Phone
(903) 917-3118

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Residential Treatment Facility, Physical Disabilities

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