Organization
EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASHEBA KEY-ALLRED (CONTRACT SPECIALIST)
(919) 783-8898
Entity
Organization
Contact information
Practice address
715 FALLS RD, ROCKY MOUNT, NC 27804-2725
(252) 985-3782
(252) 985-1434
Mailing address
5171 GLENWOOD AVE, SUITE 211, RALEIGH, NC 27612-3266
(919) 783-8898
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
08/18/2010
Last updated
04/24/2017
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