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Search › Texas › Intellectual and/or Developmental Disabilities Residential Treatment Facility

Mary Davis

NPI 1730464611 · on the registry since 2011 · sole proprietor

Practice

Address
803 Oakdale Ave
Longview, TX 75602
Phone
(903) 917-3118
Fax
(903) 295-5856

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Also registered as
Physical Disabilities Residential Treatment Facility
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-11

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 Texas