# HEPHZIBAH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003091646
- **Authorized official:** MRS. BOLADE OLUSOLA ADE-JAGUN (ADMINISTRATOR)
- **Authorized official phone:** (817) 453-5506

## Contact information

- **Practice address:** 201 MISTY MESA TRL, MANSFIELD, TX 76063-4817
- **Practice address phone:** (817) 453-5506
- **Mailing address:** 201 MISTY MESA TRL, MANSFIELD, TX 76063-4817
- **Mailing address phone:** (817) 453-5506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 01/02/2008