Organization
CARBO INVESTMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESEAN BOLLING (DIRECTOR)
(214) 698-9371
Entity
Organization
Contact information
Practice address
629 MEDINAH RD, RED OAK, TX 75154-2750
(469) 415-5345
Mailing address
8624 FERGUSON RD UNIT 571766, DALLAS, TX 75357-7589
(214) 698-9371
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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