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Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Active
Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EDWARDS (VICE PRESIDENT)
(919) 783-8898
Entity
Organization
Contact information
Practice address
622 BASS LN, CHARLOTTE, NC 28270-2231
(704) 246-5417
(704) 321-8234
Mailing address
10150 MALLARD CREEK RD, SUITE 510, CHARLOTTE, NC 28262-9708
(704) 333-8220
(704) 971-2537
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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