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Providence Home
Intellectual Disabilities Intermediate Care Facility in Arlington, Texas
NPI 1700105426

Providence Home is a Intellectual Disabilities Intermediate Care Facility based in Arlington, TX. Providence Home practices in Arlington, TX. The NPI Number for Providence Home is 1700105426 and holds a License No. (Texas).

The current practice location address for Providence Home is 8108 Modesto Dr, Arlington, TX and can be reached out via phone at 817-715-0236. You can also correspond with Providence Home through the mailing address at 8108 MODESTO DR, ARLINGTON, TX - 76001-8545 (mailing address contact number: 817-715-0236).

Location: 8108 Modesto Dr, Arlington, TX, 76001-8545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700105426
Provider Name
Providence Home
Credential
Provider Entity Type
Organization
Address
8108 Modesto Dr, Arlington, TX, 76001-8545
Phone Number
817-715-0236
Fax Number
Provider Enumeration Date
05/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8108 Modesto Dr
City
Arlington
State
Texas
Zip
76001-8545
Phone Number
817-715-0236
Fax Number
person
Provider Business Mailing Address Details
Address
8108 Modesto Dr
City
Arlington
State
Texas
Zip
76001-8545
Phone Number
817-715-0236
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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