Organization
EDUCARE COMMUNITY LIVING CORP - NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISHA CONNOR (PROVIDER ENROLLMENT MANAGER)
(502) 630-7494
Entity
Organization
Contact information
Practice address
4617 LOCKLEY RD, APEX, NC 27539-8726
(919) 387-1011
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
05/04/2026
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