NPI 1003074659

Lafawn Davis

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility East Cleveland, OH

Practice location

Address: 1872 Taylor Rd 1872 Taylor Rd, East Cleveland, OH 44112-2829
Phone: (216) 681-0924

Authorised official

Name: Lafawn M Davis
Title: Independent Provider
Phone: (216) 681-0924

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 2379886 (OH)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Ohio →

Registry record

NPI: 1003074659
Entity type: Organization
NPI issued: 30 May 2008
Record last updated: 30 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.