Providence Home
Providence Home is an Intellectual Disabilities Intermediate Care Facility in Arlington, Texas. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
8108 Modesto DrArlington, TX 76001-8545
Phone: (817) 715-0236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1700105426 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Saaghe Fogwe — Owner/Manager · (817) 715-0236 |
| NPI enumerated | May 20, 2010 |
| Last updated in NPPES | May 20, 2010 |
| Mailing address | 8108 Modesto Dr, Arlington, TX 76001-8545 |
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