| Easter Seals Ucp North Carolina & Virginia Inc. | |
|
350 Peace St North Wilkesboro NC 28659-4550 | |
| (336) 838-0511 | |
| (336) 838-5330 |
| Full Name | Easter Seals Ucp North Carolina & Virginia Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 350 Peace St, North Wilkesboro, North Carolina |
| Authorized Official Name and Position | Brett Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192107661 |
| 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. 350 Peace St North Wilkesboro NC 28659-4550 Ph: (336) 838-0511 |
| NPI Number | 1174838601 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174838601 | NPI | - | NPPES |
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