Organization
FIDIA CARE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FIDIA NIYONZIMA (OWNER)
(862) 888-7692
Entity
Organization
Contact information
Practice address
3249 TODD AVE, FORT WORTH, TX 76110-4534
(862) 888-7692
Mailing address
1325 DAJA LN, GRAND PRAIRIE, TX 75050-7647
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/07/2023
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