Educare Community Living Corporation - Texas

NPI #1659712057 in Ft Worth, Texas

Provider Information

NPI Number
1659712057
Entity Type
Organization
Organization Name
Educare Community Living Corporation - Texas
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 13, 2013
Last Updated
Feb 2, 2021

Practice Location

Address
1200 EVERMAN PKWY
State
Texas
ZIP Code
76140-5002
Phone
(502) 394-2100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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