# MOORE'S FAMILY CARE HOME 1

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457405375
- **Authorized official:** MRS. AVA MOORE-DANIELS (OWNER, ADMINISTRATOR)
- **Authorized official phone:** (252) 356-2197

## Contact information

- **Practice address:** 231 MORRIS FORD RD, COLERAIN, NC 27924-9172
- **Practice address phone:** (252) 356-2197
- **Practice address fax:** (252) 356-4527
- **Mailing address:** 231 MORRIS FORD RD, COLERAIN, NC 27924-9172
- **Mailing address phone:** (252) 356-2197
- **Mailing address fax:** (252) 356-4527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | FCL-008-016 | NC | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020