Organization
LJ MOORE INCORPORATED
Active
Parent organization
LJ MOORE INCORPORATED
Other names
Community Day Supports
Organization subpart
Yes
Provider details
NPI number
Legal business name
LJ MOORE INCORPORATED
Authorized official
CAROLYN YVONNIE MOORE (PRESIDENT)
(336) 595-8760
Entity
Organization
Contact information
Practice address
2306 CRAGMORE RD, WINSTON SALEM, NC 27107-2458
(336) 595-8760
Mailing address
4743 BEACON PARK LN, WALKERTOWN, NC 27051-9220
(336) 595-8760
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1694956
NC
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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