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Mwindaace Davis
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Broken Arrow, Oklahoma
NPI 1598166803

Mwindaace Davis is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Broken Arrow, OK. Mwindaace Davis practices in Broken Arrow, OK. The NPI Number for Mwindaace Davis is 1598166803 and holds a License No. (Oklahoma).

The current practice location address for Mwindaace Davis is 3304 W Galveston Pl, Broken Arrow, OK and can be reached out via phone at 918-277-9744.

Location: 3304 W Galveston Pl, Broken Arrow, OK, 74012-3255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598166803
Provider Name
Mwindaace Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
3304 W Galveston Pl, Broken Arrow, OK, 74012-3255
Phone Number
918-277-9744
Fax Number
Provider Enumeration Date
09/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3304 W Galveston Pl
City
Broken Arrow
State
Oklahoma
Zip
74012-3255
Phone Number
918-277-9744
Fax Number
person
Provider Business Mailing Address Details
Address
3304 W Galveston Pl
City
Broken Arrow
State
Oklahoma
Zip
74012-3255
Phone Number
918-277-9744
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
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.
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