Educare Community Living Corporation Texas

NPI #1184488579 in Beaumont, Texas

Provider Information

NPI Number: 1184488579
Entity Type: Organization
Organization Name: Educare Community Living Corporation Texas
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 7, 2024
Last Updated: Feb 7, 2024

Practice Location

Address: 3610 STAGG DR STE A
City: Beaumont
State: Texas
ZIP Code: 77701-3740
Phone: (502) 394-2100

Authorized Official

Name: ANGIE MATTINGLY
Title: MGR PROVIDER ENROLLMENT
Phone: (502) 394-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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