Organization
EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASHEBA KEY-ALLRED (CONTRACT SPECIALIST)
(919) 783-8898
Entity
Organization
Contact information
Practice address
206 LENOIR ST, STE O, MORGANTON, NC 28655-3124
(828) 430-8166
(828) 430-8162
Mailing address
5171 GLENWOOD AVE, SUITE 211, RALEIGH, NC 27612-3266
(919) 783-8898
(919) 782-5486
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
08/18/2010
Last updated
09/24/2018
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