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Organization

HOMELIKE RESIDENTIAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTIAN ATEM NP (PRESIDENT/CEO)
(214) 460-4669
Entity
Organization

Contact information

Practice address
5847 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0448
(214) 460-4669
Mailing address
5847 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0448
(214) 460-4669

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477807592
TX
Enumeration date
08/24/2020
Last updated
08/24/2020
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