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Miss Mary Ann Davis
Physical Disabilities Residential Treatment Facility in Longview, Texas
NPI 1730464611

Mary Ann Davis is a Physical Disabilities Residential Treatment Facility based in Longview, TX. Mary Ann Davis practices in Longview, TX. The NPI Number for Mary Ann Davis is 1730464611 and holds a License No. 00238902 (Texas).

The current practice location address for Mary Ann Davis is 803 Oakdale Ave, Longview, TX and can be reached out via phone at 903-917-3118 and via fax at 903-295-5856.

Location: 803 Oakdale Ave, Longview, TX, 75602-2049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730464611
Provider Name
Mary Ann Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
803 Oakdale Ave, Longview, TX, 75602-2049
Phone Number
903-917-3118
Fax Number
903-295-5856
Provider Enumeration Date
10/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
803 Oakdale Ave
City
Longview
State
Texas
Zip
75602-2049
Phone Number
903-917-3118
Fax Number
903-295-5856
person
Provider Business Mailing Address Details
Address
803 Oakdale Ave
City
Longview
State
Texas
Zip
75602-2049
Phone Number
903-917-3118
Fax Number
903-295-5856
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
00238902 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
00238902 (Texas)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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