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 11 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