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Mrs. Tommie Nell Davis
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, Texas
NPI 1689811135

Tommie Nell Davis is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fort Worth, TX. Tommie Nell Davis practices in Fort Worth, TX. The NPI Number for Tommie Nell Davis is 1689811135 and holds a License No. (Texas).

The current practice location address for Tommie Nell Davis is 1521 Sunny Glen St, Fort Worth, TX and can be reached out via phone at 817-238-3961.

Location: 1521 Sunny Glen St, Fort Worth, TX, 76115-0691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689811135
Provider Name
Tommie Nell Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1521 Sunny Glen St, Fort Worth, TX, 76115-0691
Phone Number
817-238-3961
Fax Number
Provider Enumeration Date
01/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1521 Sunny Glen St
City
Fort Worth
State
Texas
Zip
76134-4853
Phone Number
817-238-3961
Fax Number
person
Provider Business Mailing Address Details
Address
1521 Sunny Glen St
City
Fort Worth
State
Texas
Zip
76134-4853
Phone Number
817-238-3961
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Texas)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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