Organization
EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
8205 BROWNE RD., CHARLOTTE, NC 28217
(704) 519-0077
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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