NPI 1275798522

Lj Moore Incorporated

Organisation Developmentally Disabled Services Day Training Agency Winston Salem, NC

Practice location

Address: 2306 Cragmore Rd, Winston Salem, NC 27107-2458
Phone: (336) 595-8760
Mailing address: 4743 Beacon Park Ln, Walkertown, NC 27051-9220

Authorised official

Name: Carolyn Yvonnie Moore
Title: President
Phone: (336) 595-8760

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 1694956 (NC)

Other Day Training, Developmentally Disabled Services providers in North Carolina →

Registry record

NPI: 1275798522
Entity type: Organization
NPI issued: 25 Jul 2008
Record last updated: 25 Jul 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.