Organization
EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Active
Other names
STX GONZALES
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
310 DE WITT ST, GONZALES, TX 78629-4210
(830) 727-7421
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
—
001000260
—
TX
Enumeration date
04/01/2007
Last updated
07/18/2008
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