Organization
EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA
Active
Other names
Community Alternatives North Carolina
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
3300 HUNTLEIGH DR, RALEIGH, NC 27604-3312
(919) 876-3834
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-092-261
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406385
—
NC
Enumeration date
08/14/2013
Last updated
09/10/2013
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