| Educare Community Living Corporation - North Carolina | |
|
428 Tippett Rd Zebulon NC 27597-7897 | |
| (919) 269-0404 | |
| Not Available |
| Full Name | Educare Community Living Corporation - North Carolina |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 428 Tippett Rd, Zebulon, North Carolina |
| Authorized Official Name and Position | Deena G. Ombres (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
| Authorized Official Contact | 5023942100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Educare Community Living Corporation - North Carolina 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (502) 394-2100 | Educare Community Living Corporation - North Carolina 428 Tippett Rd Zebulon NC 27597-7897 Ph: (919) 269-0404 |
| NPI Number | 1265864102 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265864102 | NPI | - | NPPES |
| 3408589 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-092-292 (North Carolina) | Primary |
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