# LORSAM RESIDENTIAL HOMES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205145893
- **Authorized official:** TANGYI FOCHO FOGWE (PRESIDENT)
- **Authorized official phone:** (913) 207-9255

## Contact information

- **Practice address:** 8108 MODESTO DR, ARLINGTON, TX 76001-8545
- **Practice address phone:** (913) 207-9255
- **Mailing address:** 8108 MODESTO DR, ARLINGTON, TX 76001-8545
- **Mailing address phone:** (913) 207-9255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 10/02/2010