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Organization

EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC.

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
90 CINDY LN, SUITE 100, WAYNESVILLE, NC 28786-1709
(828) 316-7538
(828) 454-5545
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
311Z00000X
Custodial Care Facility

Other

Enumeration date
08/18/2010
Last updated
11/20/2015
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