# A SERVICE WITH RESPECT LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1215495254
- **Authorized official:** TAHIRAH SAMUELS LCSW S (OWNER/ PROGRAM DIRECTOR)
- **Authorized official phone:** (817) 919-1603

## Contact information

- **Practice address:** 2080 N HWY 360 STE 220, GRAND PRAIRIE, TX 75050-1400
- **Practice address phone:** (817) 919-1603
- **Mailing address:** 2412 JEFFERSON COURT LN APT 1630, ARLINGTON, TX 76006-4247
- **Mailing address phone:** (817) 919-1603
- **Mailing address fax:** (682) 252-7137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2019
- **Last updated:** 03/08/2019
