Devine Providence Home LLC
NPI #1588321343 in Midlothian, Texas
Provider Information
- NPI Number
- 1588321343
- Entity Type
- Organization
- Organization Name
- Devine Providence Home LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 29, 2021
- Last Updated
- Dec 6, 2021
Practice Location
- Address
- 3025 BLUE JAY LN
- City
- Midlothian
- State
- Texas
- ZIP Code
- 76065-8705
- Phone
- (682) 375-3968
Authorized Official
- Name
- CYNTHIA TUEDJO FEGAING
- Title
- DIRECTOR/MANAGER
- Phone
- (682) 375-3968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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