| Educare Community Living Corporation - Missouri | |
|
2570 Metro Blvd Maryland Heights MO 63043-2417 | |
| (314) 994-3033 | |
| Not Available |
| Full Name | Educare Community Living Corporation - Missouri |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 2570 Metro Blvd, Maryland Heights, Missouri |
| Authorized Official Name and Position | Deena G Ombres (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
| Authorized Official Contact | 5023942387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Educare Community Living Corporation - Missouri 9901 Linn Station Rd Louisville KY 40223-3808 Ph: () - | Educare Community Living Corporation - Missouri 2570 Metro Blvd Maryland Heights MO 63043-2417 Ph: (314) 994-3033 |
| NPI Number | 1215090352 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215090352 | NPI | - | NPPES |
| 267723302 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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