| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
735 Roanoke Ave Roanoke Rapids NC 27870-2715 | |
| (252) 535-7995 | |
| (252) 410-0211 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 735 Roanoke Ave, Roanoke Rapids, 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. 735 Roanoke Ave Roanoke Rapids NC 27870-2715 Ph: (252) 535-7995 |
| NPI Number | 1255644829 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255644829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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