# MOHER FAMILY CARE

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

## Provider details

- **NPI number:** 1942868393
- **Authorized official:** MR. TAVARIUS J MOORE ADMINISTRATOR (SIC)
- **Authorized official phone:** (804) 624-3515

## Contact information

- **Practice address:** 206 FRIENDLY RD, BURLINGTON, NC 27217-2502
- **Practice address phone:** (804) 624-3515
- **Mailing address:** 206 FRIENDLY RD, BURLINGTON, NC 27217-2502
- **Mailing address phone:** (804) 624-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2019
- **Last updated:** 05/31/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | FCL-001-107 | — | NC |