Mwindaace Davis
Mwindaace Davis is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Broken Arrow, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
3304 W Galveston PlBroken Arrow, OK 74012-3255
Phone: (918) 277-9744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1598166803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 7, 2014 |
| Last updated in NPPES | September 7, 2014 |