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MRS. MARGARETTA HINES MOORE ADMINISTRATOR

Adult Care Home

Winston Salem, North Carolina

Provider NPI: 1255456380

Provider Information:
MRS. MARGARETTA HINES MOORE ADMINISTRATOR


Practice Location:
2224 MANCHESTER ST  WINSTON SALEM, NC 27105 US
Tel: 336-727-1308  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL 034024

Other Provider Identifiers:

IssuerNumberStateType
7801419NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1



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