Easter Seals Ucp North Carolina

Organization Active NPI Adult Care Home Facility · Zebulon, NC

NPI 1710023742 · NPPES record last updated Sep 16, 2013

Key facts

NPI
1710023742
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
EASTER SEALS UCP NORTH CAROLINA
Practice address
120 E Lee St
Zebulon, NC 27597-2426
Phone
(704) 566-6040
Fax
(704) 971-2537
NPI assigned
Jan 29, 2007
Organization subpart
No

Authorized official

Name
Mrs. Richard Edwards
Title
Controller
Phone
(704) 566-6040

Corporate family (same tax ID) 24

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

National Provider Directory

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

Locations

120 E Lee St
Zebulon, NC 27597
Phone (704) 566-6040

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

120 E Lee St
Zebulon, NC 27597-2426

Mailing address

5700 Executive Center Dr
Suite 110
Charlotte, NC 28212-8858
Phone (704) 566-6040

Other identifiers

IdentifierTypeStateIssuer
7801335MedicaidNC

Other providers in Zebulon, NC

All providers in Zebulon, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.