Educare Community Living Corporation - Texas

NPI #1720101512 in Ft Worth, Texas

Provider Information

NPI Number
1720101512
Entity Type
Organization
Organization Name
Educare Community Living Corporation - Texas
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 9, 2007
Last Updated
Feb 2, 2021

Practice Location

Address
6913 LOMA VISTA DR
State
Texas
ZIP Code
76133-6428
Phone
(817) 293-7575

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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