Provider Demographics
NPI:1235960105
Name:A DAUGHTERS LOVING HOMES LLC
Entity type:Organization
Organization Name:A DAUGHTERS LOVING HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MORYA
Authorized Official - Middle Name:KOQUESE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-217-4612
Mailing Address - Street 1:811 TIFTON CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1264
Mailing Address - Country:US
Mailing Address - Phone:972-217-4612
Mailing Address - Fax:
Practice Address - Street 1:811 TIFTON CT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1264
Practice Address - Country:US
Practice Address - Phone:972-217-4612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities