| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
704 Se 2nd St Snow Hill NC 28580-1631 | |
| (252) 747-3654 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 704 Se 2nd St, Snow Hill, North Carolina |
| Authorized Official Name and Position | Jelore Little (DIR, CONTRACTS & CREDENTIALING) |
| Authorized Official Contact | 3365456338 |
| 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. 704 Se 2nd St Snow Hill NC 28580-1631 Ph: (252) 747-3654 |
| NPI Number | 1932245040 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932245040 | NPI | - | NPPES |
| 6600867 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Primary |
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