OrganizationActive
Easter Seals Ucp North Carolina & Virginia, Inc.
NPI 1598070039 · Assisted Living Facility (Mental Illness) · West Jefferson, NC
Provider details
- NPI number
- 1598070039
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nasheba Key-Allred, Credentialing Specialist(919) 865-8632
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
603 Long St
West Jefferson, NC 28694-8810
Phone: (336) 246-6504
Fax: (336) 246-6504
Approximate (ZIP-level) locationGet directions
Mailing address
5171 Glenwood Ave
Raleigh, NC 27612-3266
Registry dates
- Enumerated
- 2010-08-09
- Last updated
- 2018-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.