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Organization
MOSES GROUP, LLC
Active
Organization
MOSES GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ERICK MOSES (PRESIDENT)
(910) 964-8050
Entity
Organization
Contact information
Practice address
230 FALLINGLEAF DR, RAEFORD, NC 28376-5485
(910) 964-8051
(910) 875-0071
Mailing address
230 FALLINGLEAF DR, RAEFORD, NC 28376-5485
(910) 964-8051
(910) 875-0071
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
261QM2800X
Methadone Clinic
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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