Organization
EASTER SEALS UCP 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
3406 OLD BUFFALOE RD, RALEIGH, NC 27604-4290
(919) 873-1817
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-092-821
NC
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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