| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
3601 Commonwealth Ave Charlotte NC 28205-6232 | |
| (704) 535-9171 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3601 Commonwealth Ave, Charlotte, 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. 3601 Commonwealth Ave Charlotte NC 28205-6232 Ph: (704) 535-9171 |
| NPI Number | 1437295474 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437295474 | NPI | - | NPPES |
| 7803361 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Secondary |
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