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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
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
253J00000X
Foster Care Agency
261QM2800X
Methadone Clinic
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
07/18/2018
Last updated
07/18/2018
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