Organization
EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EDWARDS (VP)
(919) 783-8898
Entity
Organization
Contact information
Practice address
901 BERKSHIRE RD, SMITHFIELD, NC 27577-4750
(919) 934-7720
(919) 934-7720
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898
(919) 782-5486
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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