Organization
EDUCARE COMMUNITY LIVING CORPORATION - TEXAS
Active
Other names
San Angelo CLASS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
17 S CHADBOURNE ST, SUITE 200, SAN ANGELO, TX 76903-5862
(325) 486-1344
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012013
VENDOR NO.
TX
Enumeration date
06/06/2013
Last updated
06/06/2013
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