Organization
DEVINE PROVIDENCE HOME OF CARE
Active
Other names
Devine Providence Home of Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TUEDJO FEGAING (DIRECTOR/OWNER)
(682) 375-3968
Entity
Organization
Contact information
Practice address
3025 BLUE JAY LN, MIDLOTHIAN, TX 76065-8705
(682) 375-6938
Mailing address
3025 BLUE JAY LN, MIDLOTHIAN, TX 76065-8705
(682) 375-6938
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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