Individual
NATASHA MONEQUE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 SWANSEE DR, DALLAS, TX 75232-1422
(214) 207-0444
(469) 453-3306
Mailing address
1416 ATKINS ST, CEDAR HILL, TX 75104-8120
(214) 207-0444
(469) 453-3306
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
06/04/2019
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