Organization
EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA
Active
Other names
EC RAL Stonegate
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 397-2394
Entity
Organization
Contact information
Practice address
8609 STONEGATE DR, RALEIGH, NC 27615-2325
(919) 847-8628
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
—
340606V
—
NC
Enumeration date
03/30/2007
Last updated
07/18/2008
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