Organization
MOVING FORWARD ENHANCE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA A ERVIN (PRESIDENT)
(252) 200-4930
Entity
Organization
Contact information
Practice address
907 LANCASTER ST, ROCKY MOUNT, NC 27801-7339
(252) 200-4930
(252) 200-4930
Mailing address
907 LANCASTER ST, ROCKY MOUNT, NC 27801-7339
(252) 200-4930
(252) 200-4930
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NC
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/28/2011
Last updated
12/03/2011
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