# EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063727758
- **Authorized official:** NASHEBA KEY-ALLRED (CONTRACT ADMINISTRATOR)
- **Authorized official phone:** (919) 783-8898

## Contact information

- **Practice address:** 114 W ERWIN ST, MORGANTON, NC 28655
- **Practice address phone:** (828) 430-3215
- **Practice address fax:** (828) 438-9987
- **Mailing address:** 5171 GLENWOOD AVE, SUITE 211, RALEIGH, NC 27612-3266
- **Mailing address phone:** (919) 783-8898
- **Mailing address fax:** (919) 782-5486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | MHL012121 | NC | Yes |

## Other

- **Enumeration date:** 08/18/2010
- **Last updated:** 07/03/2018