Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EDWARDS (VP)
(919) 865-8780
Entity
Organization
Contact information
Practice address
126 OAKMOUNT DRIVE, STE 27F, GREENVILLE, NC 27858-3266
(919) 865-8780
Mailing address
5171 GLENWOOD AVE, STE 400, RALEIGH, NC 27612-3266
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
12/19/2013
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