Organization
PROVIDENCE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAAGHE MMBI FOGWE (OWNER/MANAGER)
(817) 715-0236
Entity
Organization
Contact information
Practice address
8108 MODESTO DR, ARLINGTON, TX 76001-8545
(817) 715-0236
Mailing address
8108 MODESTO DR, ARLINGTON, TX 76001-8545
(817) 715-0236
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us