Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EDWARDS (CONTRACT ADMINISTRATOR)
(919) 783-8898
Entity
Organization
Contact information
Practice address
11635 N MAIN ST, STE A, ARCHDALE, NC 27263-3270
(336) 882-6600
Mailing address
5171 GLENWOOD AVE, STE 400, RALEIGH, NC 27612-3266
(919) 783-8898
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
12/21/2015
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