OrganizationEaster Seals Ucp North Carolina & Virginia, Inc.Community/Behavioral HealthAgenciesPractice Address4000 Wake Forest Rd, Ste 200, Raleigh, NC 27609-6879(919) 861-1600(919) 783-8898PECOS EnrollmentBased on the most recent information from CMS, provider Easter Seals Ucp North Carolina & Virginia, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1548314271Provider TypeOrganizationFull NameEaster Seals Ucp North Carolina & Virginia, Inc.SubpartNoEnumeration Date1/22/2007Last Updated4/24/2017Contact InformationPractice LocationPractice Address4000 Wake Forest Rd, Ste 200, Raleigh, NC 27609-6879Phone(919) 861-1600FaxUnlisted FaxMailing LocationMailing Address5171 Glenwood Ave, Suite 211, Raleigh, NC 27612-3266Phone(919) 783-8898FaxUnlisted FaxAuthorized OfficialNameKey-Allred, Nasheba (Contract Specialist)Phone(919) 783-8898Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8300466BDescriptionMedicaidIssuerUnlistedNorth Carolina