Educare Community Living Limited Partnership

NPI #1285756049 in Azle, Texas

Provider Information

NPI Number: 1285756049
Entity Type: Organization
Organization Name: Educare Community Living Limited Partnership
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Apr 4, 2007
Last Updated: Jul 31, 2008

Practice Location

Address: 104 LAMP LIGHTER CT
City: Azle
State: Texas
ZIP Code: 76020-4147
Phone: (817) 293-7575

Authorized Official

Name: DEENA OMBRES
Title: PRIVACY OFFICER
Phone: (502) 394-2387

Specialties & Taxonomy Codes

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

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