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
301 S CHURCH ST, SUITE 200, ROCKY MOUNT, NC 27804-5755
(252) 467-2860
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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