Organization
MORAVIAN FAMILY CARE HOME
Active
Organization
MORAVIAN FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN COMMEDO MORAVIAN (OWNER)
(336) 554-3486
Entity
Organization
Contact information
Practice address
2905 HOLMES RD, GREENSBORO, NC 27405-4621
(336) 554-3486
(336) 554-3486
Mailing address
7604 FAIRHAVEN RD, BROWNS SUMMIT, NC 27214-9643
(336) 554-3486
(336) 358-1729
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
041-1025
NC
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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