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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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