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Easter Seals Ucp of North Carolina & Virginia, Inc.

Organization Active NPI Assisted Living Facility (Mental Illness) · West Jefferson, NC

NPI 1699080382 · NPPES record last updated Dec 21, 2015

Key facts

NPI
1699080382
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility (Mental Illness) 3104A0625X
Legal business name
EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC.
Practice address
113 Burkett Ave
West Jefferson, NC 28694-9547
Phone
(336) 219-0042
NPI assigned
Aug 18, 2010
Organization subpart
No

Authorized official

Name
Richard Edwrads
Title
Contract Administrator
Phone
(919) 783-8898

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Easter Seals Ucp North Carolina Virginia Inc (224 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Yes

Addresses

Primary practice location

113 Burkett Ave
West Jefferson, NC 28694-9547

Mailing address

5171 Glenwood Ave
Suite 400
Raleigh, NC 27612-3266
Phone (919) 783-8898

Other providers in West Jefferson, NC

All providers in West Jefferson, NC · Assisted Living Facility (Mental Illness) in North Carolina

Sources for this page

Verify at the official NPI Registry.