Organization
EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Active
Other names
ETX ELKHART INN
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE BUCKMAN (REGIONAL PRESIDENT)
(800) 866-0860
Entity
Organization
Contact information
Practice address
208 FM 1817, ELKHART, TX 75839-4545
(903) 764-5072
(936) 639-5063
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
—
001000269
—
TX
Enumeration date
04/02/2007
Last updated
11/02/2023
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