NPI 1679798045

David Moore Jr

Organisation Mental Illness Intermediate Care Facility Durham, NC

Practice location

Address: 3108 Dearborn Dr, Durham, NC 27704-2306
Phone: (919) 632-9219
Mailing address: 3108 Dearborn Dr, Durham, NC 27704

Authorised official

Name: David Moore
Title: Owner
Phone: (919) 632-9219

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence MHL-032-304 (NC)

Other Intermediate Care Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1679798045
Entity type: Organization
NPI issued: 13 Apr 2007
Record last updated: 25 Jun 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.