Easter Seals Ucp of North Carolina & Virginia, Inc.

Organization Active NPI Assisted Living Facility (Mental Illness) · High Point, NC

NPI 1740595347 · NPPES record last updated Nov 20, 2015

Key facts

NPI
1740595347
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
2325 Brentwood St
High Point, NC 27263-1933
Phone
(336) 861-2041
Fax
(336) 861-1790
NPI assigned
Aug 9, 2010
Organization subpart
No

Authorized official

Name
Richard Edwards
Title
Contract Administrator
Phone
91978388898

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
Custodial Care Facility 311Z00000X

Addresses

Primary practice location

2325 Brentwood St
High Point, NC 27263-1933

Mailing address

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

Other providers in High Point, NC

All providers in High Point, NC · Assisted Living Facility (Mental Illness) in North Carolina

Sources for this page

Verify at the official NPI Registry.