PROVIDENCE HOME is an intermediate care facility mentally retarded in Arlington, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PROVIDENCE HOME NPI is 1700105426. The provider is registered as an organization entity type.
The provider's business location address is:
8108 MODESTO DR
ARLINGTON, TX
ZIP 76001-545
Phone: (817) 715-0236
The provider's authorized official is Saaghe Mmbi Fogwe .
The authorized official title is Owner/manager and has the following contact phone number (817) 715-0236.
The enumeration date for this NPI number is 5/20/2010 and was last updated on 5/20/2010.