Whalio Doctors

NPI 1003091646

Hephzibah LLC

Organisation Respite Care Mansfield, TX

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
Respite Care Facility Taxonomy 385H00000X

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.