Provider Demographics
NPI:1679172936
Name:RE-CARE INCORPORATED
Entity Type:Organization
Organization Name:RE-CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CORINTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:BA,MS
Authorized Official - Phone:202-421-0483
Mailing Address - Street 1:200 UNIVERSITY BLVD STE 225-374
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1001
Mailing Address - Country:US
Mailing Address - Phone:877-732-2730
Mailing Address - Fax:
Practice Address - Street 1:200 UNIVERSITY BLVD STE 225-374
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1001
Practice Address - Country:US
Practice Address - Phone:877-732-2730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities