Fidia Niyonzima - Fort Worth, TX

Fidia Niyonzima

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, Texas

NPI 1669143962

Fidia Niyonzima is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Grand Prairie, TX. Fidia Niyonzima practices in Fort Worth, TX. The NPI Number for Fidia Niyonzima is 1669143962 and holds a License No. (Texas).

The current practice location address for Fidia Niyonzima is 3249 Todd Ave, Fort Worth, TX and can be reached out via phone at 862-888-7692.

Location: 3249 Todd Ave, Fort Worth, TX, 75050-7663

NPI Number

1669143962

Provider Name

Fidia Niyonzima

Credential

Provider Entity Type

Individual

Gender

Female

Address

3249 Todd Ave, Fort Worth, TX, 75050-7663

Phone Number

862-888-7692

Fax Number

Provider Enumeration Date

09/26/2021

Last Update Date

03/10/2024

Address

3249 Todd Ave

City

Fort Worth

State

Texas

Zip

76110-4534

Phone Number

862-888-7692

Fax Number

Address

3249 Todd Ave

City

Fort Worth

State

Texas

Zip

76110-4534

Phone Number

862-888-7692

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

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Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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