Organization
EDUCARE COMMUNITY LIVING CORPORATION-GULF COAST
Active
Other names
EC HOUS HEARTHSTONE
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (DIRECTOR PROVIDER ENROLLMENT)
(502) 630-7138
Entity
Organization
Contact information
Practice address
7206 BENWICH CIR, HOUSTON, TX 77095-3203
(281) 463-1034
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000391301
—
TX
Enumeration date
04/03/2007
Last updated
09/02/2025
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