# EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

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

## Provider details

- **NPI number:** 1215211651
- **Authorized official:** RICHARD EDWARDS (VP)
- **Authorized official phone:** (919) 783-8898

## Contact information

- **Practice address:** 3406 OLD BUFFALOE RD, RALEIGH, NC 27604-4290
- **Practice address phone:** (919) 873-1817
- **Mailing address:** 5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
- **Mailing address phone:** (919) 783-8898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-092-821 | NC | Yes |

## Other

- **Enumeration date:** 10/04/2011
- **Last updated:** 10/04/2011