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Organization
AVA MOORE-DANIELS
Active
Organization
AVA MOORE-DANIELS
Active
Other names
MOORE'S FAMILY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
AVA MOORE-DANIELS (ADMINISTRATOR)
(252) 287-9363
Entity
Organization
Contact information
Practice address
154 HWY NC 42, POWELLSVILLE, NC 27967-0218
(252) 332-6804
(252) 332-5199
Mailing address
PO BOX 218, POWELLSVILLE, NC 27967-0218
(252) 332-6804
(252) 332-5199
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
FCL-008-015
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/22/2007
Last updated
11/14/2023
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