Organization
EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Active
Other names
MTX BOSQUE
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
50023942387
Entity
Organization
Contact information
Practice address
1919 BOSQUE LN, ARLINGTON, TX 76006-6619
(806) 793-9694
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001000330
—
TX
Enumeration date
03/31/2007
Last updated
07/18/2008
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