Organization
ACHAVA CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAYLEE ANNE GEE PRESIDENT (CEO)
(817) 714-0363
Entity
Organization
Contact information
Practice address
925 E KENNEDALE PKWY, KENNEDALE, TX 76060-3225
(817) 542-0227
(817) 483-0484
Mailing address
925 E. KENNEDALE PARKWAY, KENNEDALE, TX 76060
(817) 542-0227
(817) 483-0484
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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