| Educare Community Living Corporation North Carolina | |
|
212 Hillstone Pl Suite B Jamestown NC 27282-2000 | |
| (800) 866-0860 | |
| Not Available |
| Full Name | Educare Community Living Corporation North Carolina |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 Hillstone Pl, Jamestown, North Carolina |
| Authorized Official Name and Position | Deena Ombres (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 North Carolina 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (800) 866-0860 | Educare Community Living Corporation North Carolina 212 Hillstone Pl Suite B Jamestown NC 27282-2000 Ph: (800) 866-0860 |
| NPI Number | 1629212949 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629212949 | NPI | - | NPPES |
| 8300893B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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