# MOSLEY FAMILY CARE HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1518081025
- **Authorized official:** MRS. JANNIE MOSLEY (OWNER)
- **Authorized official phone:** (252) 522-2280

## Contact information

- **Practice address:** 3412 POOLE RD, KINSTON, NC 28504-5929
- **Practice address phone:** (252) 522-2280
- **Mailing address:** 3412 POOLE RD, KINSTON, NC 28504-5929
- **Mailing address phone:** (252) 522-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL054004 | NC | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 11/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801480 | — | NC |