Educare Community Living Limited Partnership

NPI #1821118860 in Azle, Texas

Provider Information

NPI Number: 1821118860
Entity Type: Organization
Organization Name: Educare Community Living Limited Partnership
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Mar 31, 2007
Last Updated: Jul 18, 2008

Practice Location

Address: 708 JAMES ST
City: Azle
State: Texas
ZIP Code: 76020-2622
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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