Organization
MOORE'S RETIREMENT HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEARLDINE N MOORE LPN (ADMINISTRATOR)
(336) 659-0880
Entity
Organization
Contact information
Practice address
910 MAPLEWOOD COURT, WINSTON-SALEM, NC 27103
(336) 659-0880
Mailing address
910 MAPLEWOOD COURT, WINSTON-SALEM, NC 27103
(336) 659-0880
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801470
—
NC
Enumeration date
06/27/2007
Last updated
08/22/2020
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