| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
624 S Fayetteville St Suite D Asheboro NC 27203-6581 | |
| (336) 318-2953 | |
| (336) 318-2958 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 624 S Fayetteville St, Asheboro, North Carolina |
| Authorized Official Name and Position | Richard Edwards (VP) |
| Authorized Official Contact | 9197838898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 624 S Fayetteville St Suite D Asheboro NC 27203-6581 Ph: (336) 318-2953 |
| NPI Number | 1790098549 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 08/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790098549 | NPI | - | NPPES |
| 8303047 | Medicaid | NC | |
| 8303047A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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