Provider Demographics
NPI:1952726077
Name:CARROTS AND RICE LLC
Entity Type:Organization
Organization Name:CARROTS AND RICE LLC
Other - Org Name:GRANNY NANNIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-590-0238
Mailing Address - Street 1:17290 PRESTON RD
Mailing Address - Street 2:210 - C
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-4026
Mailing Address - Country:US
Mailing Address - Phone:972-590-0238
Mailing Address - Fax:214-272-2401
Practice Address - Street 1:17290 PRESTON RD
Practice Address - Street 2:210-C
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-4026
Practice Address - Country:US
Practice Address - Phone:972-590-0238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care