| 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 | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2026-01-12 |