| Easter Seals Ucp Nc & Va, Inc | |
|
124 Ridge Run Marshville NC 28103-1363 | |
| (704) 624-3132 | |
| (704) 624-6939 |
| Full Name | Easter Seals Ucp Nc & Va, Inc |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 124 Ridge Run, Marshville, 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 Nc & Va, Inc 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp Nc & Va, Inc 124 Ridge Run Marshville NC 28103-1363 Ph: (704) 624-3132 |
| NPI Number | 1942515572 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942515572 | NPI | - | NPPES |
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