Savannah Elaine Davis

Individual provider Active NPI Developmental Disabilities Clinic/Center · Ralston, NE

NPI 1902605249 · NPPES record last updated Mar 10, 2025

Key facts

NPI
1902605249
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Disabilities Clinic/Center 261QD1600X
Practice address
5720 S 77TH St
Ralston, NE 68127-4202
Phone
(531) 200-0563
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Yes

Addresses

Primary practice location

5720 S 77TH St
Ralston, NE 68127-4202

Mailing address

5720 S 77TH St
Ralston, NE 68127-4202
Phone (531) 200-0563

Other providers in Ralston, NE

All providers in Ralston, NE · Developmental Disabilities Clinic/Center in Nebraska

Sources for this page

Verify at the official NPI Registry.