PROVIDENCE GROUP HOME

DALLAS, TX
NPI1811219942
Entity TypeOrganization
Authorized ContactPOLYCARP ANAYO OHAKWE
Owner
214-680-9144
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2010-02-16
Last Update Date2010-02-16
Business Address
PROVIDENCE GROUP HOME
1047 HILLBURN DR
DALLAS, TX 75217-4328
Phone number: 214-680-9144
Mailing Address
PROVIDENCE GROUP HOME
3327 CHAPELWOOD DR
SUNNYVALE, TX 75182-4005
Phone number: 214-680-9144
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