Organization
EASTER SEALS UCP NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RICHARD EDWARDS (CONTROLLER)
(704) 566-6040
Entity
Organization
Contact information
Practice address
120 E LEE ST, ZEBULON, NC 27597-2426
(704) 566-6040
(704) 971-2537
Mailing address
5700 EXECUTIVE CENTER DR, SUITE 110, CHARLOTTE, NC 28212-8858
(704) 566-6040
(704) 971-2537
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801335
—
NC
Enumeration date
01/29/2007
Last updated
09/16/2013
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