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Organization
A SERVICE WITH RESPECT LIMITED LIABILITY COMPANY
Active
Organization
A SERVICE WITH RESPECT LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIRAH SAMUELS LCSW S (OWNER/ PROGRAM DIRECTOR)
(817) 919-1603
Entity
Organization
Contact information
Practice address
2080 N HWY 360 STE 220, GRAND PRAIRIE, TX 75050-1400
(817) 919-1603
Mailing address
2412 JEFFERSON COURT LN APT 1630, ARLINGTON, TX 76006-4247
(817) 919-1603
(682) 252-7137
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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