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Organization

EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

Active
Other names
EC ANTO TREE GROVE
Organization subpart
No

Provider details

NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization

Contact information

Practice address
3238 TREE GROVE DR, SAN ANTONIO, TX 78247-5115
(210) 490-5038
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
000733201
TX
Enumeration date
04/09/2007
Last updated
07/15/2008
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