Organization
CARRIE ASSISTANT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALINDA JEAN ANTOINE (CEO)
(817) 461-0154
Entity
Organization
Contact information
Practice address
306 E RANDOL MILL RD, SUITE 160, ARLINGTON, TX 76011-5839
(817) 461-0154
Mailing address
306 E RANDOL MILL RD, SUITE 160, ARLINGTON, TX 76011-5839
(817) 461-0154
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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