| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
150 Pine State St Lillington NC 27546-9414 | |
| (910) 814-3599 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 Pine State St, Lillington, North Carolina |
| Authorized Official Name and Position | Richard Edwards (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 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 150 Pine State St Lillington NC 27546-9414 Ph: (910) 814-3599 |
| NPI Number | 1801108105 |
|---|---|
| Provider Enumeration Date | 07/02/2010 |
| Last Update Date | 11/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801108105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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