Educare Community Living Corporation - Texas

NPI #1194846212 in Alvarado, Texas

Provider Information

NPI Number: 1194846212
Entity Type: Organization
Organization Name: Educare Community Living Corporation - Texas
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Apr 3, 2007
Last Updated: Feb 2, 2021

Practice Location

Address: 208 ALVARADO OAK DR
City: Alvarado
State: Texas
ZIP Code: 76009-6309
Phone: (817) 790-3476

Authorized Official

Name: MR. TIMOTHY WHOBREY
Title: PROVIDER ENROLLMENT
Phone: (502) 630-7249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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