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Organization

CSL LEASECO INC.

Active
Other names
Covenant Place of Burleson
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOB HOLLISTER CPA (PROPERTY CONTROLLER)
(972) 770-5600
Entity
Organization

Contact information

Practice address
611 NE ALSBURY BLVD, BURLESON, TX 76028-2658
(817) 447-4477
(817) 447-4505
Mailing address
611 NE ALSBURY BLVD, BURLESON, TX 76028-2658
(817) 447-4477
(817) 447-4505

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0384
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001017626
TX
Enumeration date
05/05/2009
Last updated
03/23/2011
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