Bianca Davis, LPN Valid NPI
Individual provider · Psychiatric Residential Treatment Facility · Homewood, IL
- NPI
- 1588039556
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric Residential Treatment Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 323P00000X
- License number
- 043.110334 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-12-02
- Last updated
- 2015-12-02
Practice location
18610 Morris Ave
Homewood, IL 60430-3628
(708) 860-2143