| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
308 Bragg St Ne Wilson NC 27893-3202 | |
| (252) 243-3022 | |
| Not Available |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 308 Bragg St Ne, Wilson, North Carolina |
| Authorized Official Name and Position | Nasheba Key-allred (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9198658632 |
| 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. 308 Bragg St Ne Wilson NC 27893-3202 Ph: (252) 243-3022 |
| NPI Number | 1396029740 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 09/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396029740 | NPI | - | NPPES |
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