Organization
EASTER SEALS UCP NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD EDWARDS (CONTRACT ADMINISTRATOR)
(919) 783-8898
Entity
Organization
Contact information
Practice address
31 JAMES ST, BREVARD, NC 28712-3779
(828) 877-5951
Mailing address
5171 GLENWOOD AVE, SUITE 400, 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
—
7804454
—
NC
Enumeration date
01/29/2007
Last updated
12/04/2015
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