Organization
LAFAWN DAVIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAFAWN M DAVIS (INDEPENDENT PROVIDER)
(216) 681-0924
Entity
Organization
Contact information
Practice address
1872 TAYLOR RD, 1872 TAYLOR RD, EAST CLEVELAND, OH 44112-2829
(216) 681-0924
Mailing address
1872 TAYLOR RD, 1872 TAYLOR RD, EAST CLEVELAND, OH 44112-2829
(216) 681-0924
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2379886
OH
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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