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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