National Provider Identifier Database

WILLIE DAVIS JR, RKT – NPI #1558778936
Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.


Contact Information

WILLIE DAVIS JR, RKT
701 DUKE AVE.
HATTIESBURG, MS39401
Phone: 601-550-1164
Fax:
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X

* Indicates primary specialty

NPI Profile & details for WILLIE DAVIS JR

NPI Number 1558778936
Credentials RKT
Entity Individual
Enumeration date 07/17/2014
Last updated 07/17/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 1907
  • IL Other: 1907 AMERICAN KINESIOTHERAPY ASSOCIATION
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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