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
212 HILLSTONE PL, SUITE B, JAMESTOWN, NC 27282-2000
(800) 866-0860
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300893
—
NC
Enumeration date
04/30/2009
Last updated
04/30/2009
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