Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS MARY ANN DAVIS
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · LONGVIEW, TX
Registration Details
- NPI Number
- 1730464611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2011 (14.527896108603 yrs)
- Last Updated
- Oct 11, 2011
- Licenses
-
00238902 (TX)00238902 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
803 OAKDALE AVELONGVIEW, TX, 756022049Browse TX providers · Browse ZIP 75602
- Phone
- 9039173118
- Fax
- 9032955856
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Physical Disabilities Residential Treatment Facility
Other Intellectual Disabilities Residential Treatment Facility Providers in LONGVIEW, TX
| Name | Credential | NPI |
|---|---|---|
| JANUETTE LONDON | — | 1619153905 |
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.