| NPI | 1629280219 |
|---|---|
| Doing Business As | PROVIDENCE PERSONAL CARE HOMES |
| Entity Type | Organization |
| Authorized Contact | PIUS WALDO FUSI CEO President 832-889-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-09-10 |