Organization
EDUCARE COMMUNITY LIVING CORPORATION - MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
2570 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 994-3033
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267723302
—
MO
Enumeration date
12/19/2006
Last updated
11/09/2011
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