EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA NPI 1992825129

NPI Information

EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA is an intermediate care facility mentally retarded in Raleigh, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA NPI is 1992825129. The provider is registered as an organization entity type.
The provider Other Name Is Ec Ral Stonegate.

The provider's business location address is:

8609 STONEGATE DR
RALEIGH, NC
ZIP 27615-325
Phone: (919) 847-8628

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 397-2394.

The CLIA number assigned to this NPI record is 34D2271266 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2007 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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