Organization
EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Active
Other names
IRVI CRESTVIEW FULTON
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (CHIEF REGULATORY OFFICER SR ASST GC)
(952) 836-2234
Entity
Organization
Contact information
Practice address
2501 CRESTVIEW CIR, IRVING, TX 75062-5341
(972) 252-1087
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(800) 388-5150
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001000503
—
TX
Enumeration date
04/01/2007
Last updated
05/30/2026
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