Organization
MOYER REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDELLA M KELLAM (ADMINISTRATOR)
(336) 427-4962
Entity
Organization
Contact information
Practice address
5765HWY 135, STONEVILLE, NC 27048
(336) 427-4962
(336) 427-4965
Mailing address
5767 HWY 135, STONEVILLE, NC 27048
(336) 427-4962
(336) 427-4965
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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