Organization
EDUCARE COMMUNITY LIVING CORP NC
Active
Other names
Educare Ral Blanche
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
6208 BLANCHE DR, RALEIGH, NC 27607-5008
(919) 859-1450
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406421
—
NC
Enumeration date
03/29/2007
Last updated
10/19/2021
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