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Organization
ANAM RESIDENTIAL CARE
Active
Organization
ANAM RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MINNEWEATHER-RYAN (OWNER)
(817) 690-4848
Entity
Organization
Contact information
Practice address
7112 WELSHMAN DR, FORT WORTH, TX 76137-6659
(817) 690-4848
Mailing address
7112 WELSHMAN DR, FORT WORTH, TX 76137-6659
(817) 690-4848
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106726
PROVIDER IDENTIFICATION NUMBER
TX
01
—
148822
ALF LICENSE
TX
Enumeration date
09/05/2018
Last updated
03/28/2019
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