Organization
EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASHEBA KEY-ALLRED (CONTRACT ADMINISTRATOR)
(919) 783-8898
Entity
Organization
Contact information
Practice address
1500 LANKFORD ST, GREENSBORO, NC 27405-3388
(336) 375-9080
(336) 375-5927
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898
(919) 782-5486
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
08/09/2010
Last updated
07/16/2021
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