Divine Providence Home
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Houston, TX. Organization (NPI-2).
NPI number1295057016
StatusActive
Last updated in NPPESFeb 20, 2010
Details
- NPI
- 1295057016
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Providence Home
- Organization subpart
- No
- Enumeration date
- Feb 20, 2010
- Last updated
- Feb 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
6211 Sonoma WayHouston, TX 77053-4347
Phone 281-704-2229
Mailing address
6211 Sonoma WayHouston, TX 77053-4347
Phone 281-704-2229
Authorized official
Augusta Chibueze Alisigwe
Director
2817042229
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