| NPI | 1083349518 |
|---|---|
| Doing Business As | DEVINE PROVIDENCE HOME OF CARE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TUEDJO FEGAING Director/Owner 682-375-3968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251V00000X Voluntary or Charitable | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |