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Organization
REJUVENATE RESIDENTIAL SERVICES LLC
Active
Organization
REJUVENATE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINYSE DAVIS DNP, APRN, FNP PMHNC (OWNER)
(317) 985-3580
Entity
Organization
Contact information
Practice address
1904 E 22ND ST, MUNCIE, IN 47302-5466
(765) 273-3391
Mailing address
5112 N HICKORY RD, MUNCIE, IN 47303-1074
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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