Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MWINDAACE DAVIS
Active Sole ProprietorMWINDAACE DAVIS is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1598166803 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1598166803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2014 (11.968306513094 yrs)
- Last Updated
- Sep 7, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
3304 W GALVESTON PLBROKEN ARROW, OK, 740123255Browse OK providers · Browse ZIP 74012
- Phone
- 9182779744
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.