Organization · NPI-2
Carrie Assistant Living
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Arlington, TX
NPI number1861708265
StatusActive
Last updated in NPPESAug 23, 2010
Details
- NPI
- 1861708265
- Entity type
- Organization (NPI-2)
- Legal business name
- Carrie Assistant Living
- Organization subpart
- No
- Enumeration date
- Aug 23, 2010
- Last updated
- Aug 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
306 E Randol Mill RdSuite 160
Arlington, TX 76011-5839
Phone 817-461-0154
Mailing address
306 E Randol Mill RdSuite 160
Arlington, TX 76011-5839
Phone 817-461-0154
Authorized official
Balinda Jean Antoine
Ceo
8174610154
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