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Organization

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD EDWARDS (CONTRACT ADMINISTRATOR)
(919) 783-8898
Entity
Organization

Contact information

Practice address
1101 GREENVILLE BLVD SE, GREENVILLE, NC 27858-4529
(252) 756-6533
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8300139K
ECHOES CBRS NON MEDICAID
NC
05
8300139K
NC
Enumeration date
01/22/2007
Last updated
12/15/2015
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