| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
3405 W Wendover Ave Suite C Greensboro NC 27407-2377 | |
| (336) 545-6338 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 3405 W Wendover Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Nasheba Key-allred (CONTRACT ADMINISTRATOR) |
| 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. 3405 W Wendover Ave Suite C Greensboro NC 27407-2377 Ph: (336) 545-6338 |
| NPI Number | 1053473991 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 04/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053473991 | NPI | - | NPPES |
| 018KJ | Other | NC | NCBCBS |
| 830127C | Medicaid | NC | |
| 8301327 | Medicaid | NC | |
| 8301327B | Medicaid | NC | |
| 8301327H | Medicaid | NC | |
| 8301327I | Medicaid | NC | |
| 8301327A | Medicaid | NC | |
| 8301327F | Medicaid | NC | |
| 8301327G | Medicaid | NC |
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