| NPI | 1588321343 |
|---|---|
| Doing Business As | DEVINE PROVIDENCE HOME LLC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TUEDJO FEGAING Director/Manager 682-375-3968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-12-06 |