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Easter Seals Ucp North Carolina & Virginia

Organization Active NPI Community/Behavioral Health Agency · Fayetteville, NC

NPI 1699100396 · NPPES record last updated Sep 12, 2013

Key facts

NPI
1699100396
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA
Practice address
351 Wagoner Dr
Suite 160
Fayetteville, NC 28303-4608
Phone
(919) 783-8898
NPI assigned
Sep 12, 2013
Organization subpart
No

Authorized official

Name
Richard Edwards
Title
VP
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)

Locations

351 Wagoner Dr
Ste 160
Fayetteville, NC 28303
Phone (919) 861-1600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

351 Wagoner Dr
Suite 160
Fayetteville, NC 28303-4608

Mailing address

5171 Glenwood Ave
Ste 400
Raleigh, NC 27612-3266

Other providers in Fayetteville, NC

All providers in Fayetteville, NC · Community/Behavioral Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.