Whalio Doctors

NPI 1134393994

Moores Retirement Home INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Winston Salem, NC

Practice location

Address
910 Maplewood Court, Winston Salem, NC 27103-4113
Phone
(336) 659-0880
Fax
(336) 659-0821

Authorised official

Name
Gearldine N Moore
Title
President
Phone
(336) 659-0880

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence MHL034225 (NC)

Registry record

NPI
1134393994
Entity type
Organization
NPI issued
14 Apr 2008
Record last updated
14 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.