Organization
AFFECTIONATE RESIDENTIAL CARE LLC
Active
Other names
Affectionate Residential Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AGATHA DWOMOH (PROGRAM MANAGER)
(469) 863-1004
Entity
Organization
Contact information
Practice address
2022 ORCHARD TRL, GARLAND, TX 75040-4458
(469) 863-1004
Mailing address
2022 ORCHARD TRL, GARLAND, TX 75040-4458
(469) 863-1004
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
01/12/2026
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