Organization
EDUCARE COMMUNITY LIVING CORPORATION-NORTH CAROLINA
Active
Other names
Community Alternatives North Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MANAGER-PROVIDER ENROLLMENT)
(502) 381-3579
Entity
Organization
Contact information
Practice address
834 TYVOLA RD STE 116, CHARLOTTE, NC 28217-3542
(704) 519-0007
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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