EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP NPI 1891815825

NPI Information

EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP is an intermediate care facility mentally retarded in Lubbock, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP NPI is 1891815825. The provider is registered as an organization entity type.
The provider Other Name Is Wtx 41st.

The provider's business location address is:

3615 41ST ST
LUBBOCK, TX
ZIP 79413-017
Phone: (806) 799-0471

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.

The CLIA number assigned to this NPI record is 45D2270920 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2007 and was last updated on 7/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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