| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
2215 Waverly St Albemarle NC 28001-9650 | |
| (704) 983-2777 | |
| (704) 983-2777 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 2215 Waverly St, Albemarle, 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. 2215 Waverly St Albemarle NC 28001-9650 Ph: (704) 983-2777 |
| NPI Number | 1053626101 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053626101 | NPI | - | NPPES |
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