Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BIANCA DAVIS, LPN
Active Sole ProprietorPsychiatric Residential Treatment Facility · HOMEWOOD, IL
Registration Details
- NPI Number
- 1588039556
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2015 (10.385597649506 yrs)
- Last Updated
- Dec 2, 2015
- License
-
043.110334 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18610 MORRIS AVEHOMEWOOD, IL, 604303628Browse IL providers · Browse ZIP 60430
- Phone
- 7088602143
- Primary Specialty
-
Psychiatric Residential Treatment Facility
323P00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.