Organization
MOORE'S FAMILY CARE HOME 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVA MOORE-DANIELS (OWNER, ADMINISTRATOR)
(252) 356-2197
Entity
Organization
Contact information
Practice address
231 MORRIS FORD RD, COLERAIN, NC 27924-9172
(252) 356-2197
(252) 356-4527
Mailing address
231 MORRIS FORD RD, COLERAIN, NC 27924-9172
(252) 356-2197
(252) 356-4527
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
FCL-008-016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804790
—
NC
Enumeration date
01/22/2007
Last updated
08/22/2020
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