Organization
EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Active
Other names
WTX Juneau
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
2502 JUNEAU AVE, LUBBOCK, TX 79407-1526
(806) 793-9694
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(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
—
001000275
—
TX
Enumeration date
03/31/2007
Last updated
02/29/2024
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