Educare Community Living Corporation - Texas

NPI #1760820021 in Sundown, Texas

Provider Information

NPI Number: 1760820021
Entity Type: Organization
Organization Name: Educare Community Living Corporation - Texas
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jun 10, 2013
Last Updated: Feb 8, 2021

Practice Location

Address: 308 W. 7TH ST.
City: Sundown
State: Texas
ZIP Code: 79372
Phone: (806) 229-2153

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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