Easter Seals Ucp Of North Carolina & Virginia, INC.
Assisted Living Facility, Assisted Living, Mental Illness in West Jefferson, NC. Organization (NPI-2).
NPI number1699080382
StatusActive
Last updated in NPPESDec 21, 2015
Details
- NPI
- 1699080382
- Entity type
- Organization (NPI-2)
- Legal business name
- Easter Seals Ucp Of North Carolina & Virginia, INC.
- Organization subpart
- No
- Enumeration date
- Aug 18, 2010
- Last updated
- Dec 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | Yes |
Practice location
113 Burkett AveWest Jefferson, NC 28694-9547
Phone 336-219-0042
Mailing address
5171 Glenwood AveSuite 400
Raleigh, NC 27612-3266
Phone 919-783-8898 · Fax 919-782-5486
Authorized official
Richard Edwrads
Contract Administrator
9197838898
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