Organization
EDUCARE COMMUNITY LIVING CORPORATION - TEXAS
Active
Other names
All Ways Caring HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
6913 LOMA VISTA DR, FT WORTH, TX 76133-6428
(817) 293-7575
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
—
000720002
—
TX
Enumeration date
04/09/2007
Last updated
02/02/2021
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