NPI 1003091646
Hephzibah LLC
Practice location
- Address
- 201 Misty Mesa Trl, Mansfield, TX 76063-4817
- Phone
- (817) 453-5506
Authorised official
- Name
- Bolade Olusola Ade-Jagun
- Title
- Administrator
- Phone
- (817) 453-5506
Registered specialties
Respite Care
Primary
Registry record
- NPI
- 1003091646
- Entity type
- Organization
- NPI issued
- 2 Jan 2008
- Record last updated
- 2 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.