MISS MARY ANN DAVIS
NPI 1730464611
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Longview, TX

Active since October 11, 2011
803 OAKDALE AVE, LONGVIEW, TX 75602(903) 917-3118(903) 295-5856 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Mary Ann Davis NPPES

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

MISS MARY ANN DAVIS (NPI 1730464611) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Longview, Texas, licensed in Texas (00238902) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1730464611
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameMISS MARY ANN DAVIS
Location Address803 OAKDALE AVELongview, TX 75602-2049
Mailing Address803 Oakdale AveLongview, TX 75602-2049 · (903) 917-3118 · Fax (903) 295-5856
Fax(903) 295-5856
Sole ProprietorYes
Enumeration DateOctober 11, 2011
NPI 1730464611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in TX · 00238902
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X · License 00238902 (TX)
803 OAKDALE AVE, Longview, TX 75602

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 Mary Davis's NPI number?

The NPI number for Mary Davis is 1730464611. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Mary Davis located?

Mary Davis practices at 803 Oakdale Ave, Longview, TX 75602. The listed phone number is (903) 917-3118.

What is Mary Davis's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Mary Davis was last updated on October 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.