Organization
MORAVIAN ENTERPRISES, LLC
Active
Organization
MORAVIAN ENTERPRISES, LLC
Active
Other names
Prolific Community Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN COMMEDO MORAVIAN (ADMINISTRATOR)
(336) 542-0581
Entity
Organization
Contact information
Practice address
2515 PHILLIPS AVE STE A, GREENSBORO, NC 27405-5357
(336) 542-0581
(336) 542-0464
Mailing address
2515 PHILLIPS AVE STE A, GREENSBORO, NC 27405-5357
(336) 542-0581
(336) 542-0464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-041-1142
NC
Other
Enumeration date
03/05/2018
Last updated
10/25/2023
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