Organization
MOORE HEALTH CARE T/A SENIOR CITIZENS VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY M. SUGGS (OWNER/ADMINISTRATOR)
(910) 892-1241
Entity
Organization
Contact information
Practice address
504 CANAL DR, DUNN, NC 28334-2323
(910) 892-1241
(910) 892-5549
Mailing address
PO BOX 247, 504 CANAL DRIVE, DUNN, NC 28335-0247
(910) 892-1241
(910) 892-5549
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-043-006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801159
—
NC
Enumeration date
07/27/2007
Last updated
07/27/2007
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