Organization
EASTER SEALS UCP 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
129 EL OGDEN DR, WILMINGTON, NC 28411-9713
(910) 681-0936
Mailing address
5171 GLENWOOD AVE, STE 211, RALEIGH, NC 27612-3266
(919) 783-8898
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804533
—
NC
Enumeration date
01/29/2007
Last updated
04/24/2017
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