Organization
MOORE SERVICES OF NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYCOLE MOORE MUMFORD B.S. (CEO)
(336) 771-2131
Entity
Organization
Contact information
Practice address
480 TORTOISE LN, WINSTON SALEM, NC 27127-7006
(336) 771-2131
(336) 771-2131
Mailing address
480 TORTOISE LN, WINSTON SALEM, NC 27127-7006
(336) 771-2131
(336) 771-2131
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418097
—
NC
Enumeration date
03/22/2007
Last updated
08/22/2020
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