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Mrs. Margaretta Hines Moore, ADMINISTRATOR
Adult Care Home Facility in Winston Salem, North Carolina
NPI 1255456380

Margaretta Hines Moore is an Adult Care Home Facility based in Winston Salem, NC and is specialized in Adult Care Home. Margaretta Hines Moore practices in Winston Salem, NC and has the professional credentials of ADMINISTRATOR. The NPI Number for Margaretta Hines Moore is 1255456380 and holds a License No. FCL 034024 (North Carolina).

The current practice location address for Margaretta Hines Moore is 2224 Manchester St, Winston Salem, NC and can be reached out via phone at 336-727-1308 and via fax at 336-723-8142.

Location: 2224 Manchester St, Winston Salem, NC, 27105-5536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255456380
Provider Name
Margaretta Hines Moore
Credential
ADMINISTRATOR
Provider Entity Type
Individual
Gender
Female
Address
2224 Manchester St, Winston Salem, NC, 27105-5536
Phone Number
336-727-1308
Fax Number
336-723-8142
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7801419 05 NC
institution
Provider Business Practice Location Address Details
Address
2224 Manchester St
City
Winston Salem
State
North Carolina
Zip
27105-5536
Phone Number
336-727-1308
Fax Number
336-723-8142
person
Provider Business Mailing Address Details
Address
2224 Manchester St
City
Winston Salem
State
North Carolina
Zip
27105-5536
Phone Number
336-727-1308
Fax Number
336-723-8142
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL 034024 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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