Hephzibah LLC

NPI #1003091646 in Mansfield, Texas

Provider Information

NPI Number
1003091646
Entity Type
Organization
Organization Name
Hephzibah LLC
Primary Specialty
Respite Care
Enumeration Date
Jan 2, 2008
Last Updated
Jan 2, 2008

Practice Location

Address
201 MISTY MESA TRL
State
Texas
ZIP Code
76063-4817
Phone
(817) 453-5506

Authorized Official

Name
MRS. BOLADE OLUSOLA ADE-JAGUN
Title
ADMINISTRATOR
Phone
(817) 453-5506

Specialties & Taxonomy Codes

Specialty
Respite Care

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