Organization
EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA
Active
Other names
Community Alternatives North Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
3032 ZEBULON RD, ROCKY MOUNT, NC 27804-2421
(502) 394-2100
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408589
—
NC
Enumeration date
04/30/2009
Last updated
10/25/2019
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