Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareDAVID MOORE JR
Intermediate Care Facility, Mental Illness
Durham, North Carolina
Provider NPI: 1679798045
Organization Information:Organization Name: DAVID MOORE JR
Practice Location:
3108 DEARBORN DR DURHAM, NC 27704 US
Tel: 919-632-9219 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3108 DEARBORN DR DURHAM, NC 27704 US
Tel: 919-632-9219 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | NC | MHL-032-304 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 7805024 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin