# EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

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

## Provider details

- **NPI number:** 1932470838
- **Authorized official:** RICHARD EDWARDS (VICE PRESIDENT)
- **Authorized official phone:** (919) 783-8898

## Contact information

- **Practice address:** 622 BASS LN, CHARLOTTE, NC 28270-2231
- **Practice address phone:** (704) 246-5417
- **Practice address fax:** (704) 321-8234
- **Mailing address:** 10150 MALLARD CREEK RD, SUITE 510, CHARLOTTE, NC 28262-9708
- **Mailing address phone:** (704) 333-8220
- **Mailing address fax:** (704) 971-2537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2012
- **Last updated:** 01/24/2012