Search › Louisiana › Emotionally Disturbed Childrens' Residential Treatment Facility
William Davis
NPI 1497587802 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2657 Vivian St
Shreveport, LA 71108 - Phone
- (318) 658-0227
- Organisation at this address
- A-1 In Home Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X
- Also registered as
- Mental Illness Community Based Residential Treatment Facility
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana