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MR. WILLIE DAVIS JR. RKT
NPI 1558778936
Day Training, Developmentally Disabled Services in Hattiesbiurg, MS

Active since July 17, 2014
701 DUKE AVE., HATTIESBIURG, MS 39401(601) 550-1164 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Willie Davis Jr. Rkt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIE DAVIS JR. RKT (NPI 1558778936) is an individual day training, developmentally disabled services provider in Hattiesbiurg, Mississippi, licensed in Illinois (1907) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1558778936
Entity TypeIndividualMale
Primary Taxonomy251C00000X
Provider Legal NameMR. WILLIE DAVIS JR.Credential: RKT
Location Address701 DUKE AVE.Hattiesbiurg, MS 39401
Mailing Address701 Duke AveHattiesburg, MS 39401-4060 · (601) 550-1164
Phone(601) 550-1164
Sole ProprietorYes
Enumeration DateJuly 17, 2014
✔ NPI 1558778936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
License✔ Licensed in IL · 1907
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
701 DUKE AVE., Hattiesbiurg, MS 39401
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Other Identifiers 1

Other1907IL · American Kinesiotherapy Association

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Davis's NPI number?

The NPI number for Willie Davis is 1558778936. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Willie Davis located?

Willie Davis practices at 701 Duke Ave., Hattiesbiurg, MS 39401. The listed phone number is (601) 550-1164.

What is Willie Davis's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Willie Davis was last updated on July 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.