| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
2651 Hyde St Burlington NC 27217-3163 | |
| (336) 227-7279 | |
| (336) 227-7280 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2651 Hyde St, Burlington, North Carolina |
| Authorized Official Name and Position | Nasheba Key-allred (CONTRACT SPECIALIST) |
| 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 211 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 2651 Hyde St Burlington NC 27217-3163 Ph: (336) 227-7279 |
| NPI Number | 1417262049 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417262049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 3104A0625X | Assisted Living Facility - Assisted Living, Mental Illness | (* (Not Available)) | Secondary |
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