Organization · NPI-2

Easter Seals Ucp North Carolina & Virginia, INC.

Custodial Care Facility, Adult Care Home · Roanoke Rapids, NC

NPI number1275679227
StatusActive
Last updated in NPPESApr 24, 2017

Details

NPI
1275679227
Entity type
Organization (NPI-2)
Legal business name
Easter Seals Ucp North Carolina & Virginia, INC.
Organization subpart
No
Enumeration date
Jan 29, 2007
Last updated
Apr 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Practice location

2202 Roanoke Ave
Roanoke Rapids, NC 27870-6326

Phone 252-537-9520

Mailing address

5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-3266

Phone 919-783-8898

Authorized official

Nasheba Key-Allred
Contract Specialist
9197838898

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