Organization
EDUCARE COMMUNITY LIVING CORPORATION TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
9777 W GULF BANK RD STE 10, HOUSTON, TX 77040-3137
(713) 849-6603
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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