| Educare Community Living Corporation - Texas | |
|
901 S Mo Pac Expy Bldg Ii Suite 450 Austin TX 78746-5776 | |
| (512) 498-2705 | |
| Not Available |
| Full Name | Educare Community Living Corporation - Texas |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 S Mo Pac Expy, Austin, Texas |
| 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 - Texas 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (800) 866-0860 | Educare Community Living Corporation - Texas 901 S Mo Pac Expy Bldg Ii Suite 450 Austin TX 78746-5776 Ph: (512) 498-2705 |
| NPI Number | 1033310875 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033310875 | NPI | - | NPPES |
| 1003612 | Medicaid | TX | |
| 1003620 | Medicaid | TX | |
| 1003611 | Medicaid | TX | |
| 1003615 | Medicaid | TX | |
| 1003174 | Medicaid | TX | |
| 1003613 | Medicaid | TX | |
| 1003619 | Medicaid | TX | |
| 10036096114 | Medicaid | TX | |
| 1003617 | Medicaid | TX | |
| 1003618 | Medicaid | TX | |
| 1003175 | Medicaid | TX | |
| 1003610 | Medicaid | TX | |
| 1003176 | Medicaid | TX | |
| 1003178 | Medicaid | TX | |
| 1003609 | Medicaid | TX | |
| 1003173 | Medicaid | TX | |
| 1003177 | Medicaid | TX | |
| 1003616 | Medicaid | TX | |
| 10036176103 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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