| NPI | 1992306500 |
|---|---|
| Doing Business As | AFFECTIONATE RESIDENTIAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | AGATHA DWOMOH Program Manager 469-863-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |