MWINDAACE DAVIS (NPI# 1598166803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598166803 |
| Entity Type | Individual |
| Full Name | MWINDAACE DAVIS |
| Practice Address |
3304 W Galveston Pl Broken Arrow OK 74012-3255 |
| Practice Telephone | 9182779744 |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
3304 W GALVESTON PL |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962803114 | Enhance Care | Psychiatric Residential Treatment Facility | 3304 W Galveston Pl, Broken Arrow, OK 74012-3255 | 2014-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467863928 | Independent Nursing | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2113 Ne 2nd St, Moore, OK 73160-8155 | 2014-05-17 |
| 1760782940 | Lxe Counseling Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Quail Rd, Lane, OK 74555 | 2010-10-22 |
| 1386815215 | Cletas Cottage Day Treatment Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 220 South 5th St, Noble, OK 73068 | 2008-03-19 |
| 1225221195 | Muskogee Assoc. for The Rights of Citizens W/developmental Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-23 |
| 1578760609 | Missy Ann Beets | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N Ethel, Picher, OK 74360 | 2007-07-02 |
| 1609073725 | Vada Arlene Mertens | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 16 Blvd Sw, Miami, OK 74354 | 2007-07-02 |
| 1376740019 | Shanon Elizabeth Paxson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25322 S 603 Rd, Grove, OK 74344 | 2007-06-27 |
| 1578760203 | Alice Faye Eaglin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 31850 So 4320 Rd, Big Cabin, OK 74332 | 2007-06-27 |
| 1912104670 | Lori Fay Oneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 West South Ave, Vinita, OK 74301 | 2007-06-27 |
| 1730385378 | Rachel Bruner | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27901 W Hwy 16, Bristow, OK 74010 | 2007-06-21 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on MWINDAACE DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.