# EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851673016
- **Authorized official:** RICHARD EDWARDS (CONTRACT ADMINISTRATOR)
- **Authorized official phone:** (919) 783-8898

## Contact information

- **Practice address:** 1502 PINEVIEW AVE NW, WILSON, NC 27896-2041
- **Practice address phone:** (252) 291-5781
- **Mailing address:** 5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
- **Mailing address phone:** (252) 291-5781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-098-167 | NC | Yes |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 12/08/2015