| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
4000 Wake Forest Rd Ste 200 Raleigh NC 27609 | |
| (919) 784-9182 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4000 Wake Forest Rd, Raleigh, 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. 4000 Wake Forest Rd Ste 200 Raleigh NC 27609 Ph: (919) 784-9182 |
| NPI Number | 1013079961 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 06/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013079961 | NPI | - | NPPES |
| 018KJ | Other | NC | NC BCBS GROUP HEALTHCHOIC |
| 8300672B | Medicaid | NC | |
| 8300672F | Medicaid | NC | |
| 8300672C | Medicaid | NC | |
| 8300672D | Medicaid | NC | |
| 8300672I | Medicaid | NC | |
| 8300672 | Medicaid | NC | |
| 8300672A | Medicaid | NC | |
| 8300672G | Medicaid | NC | |
| 8300672H | Medicaid | NC |
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