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Ava Moore-daniels
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Powellsville, North Carolina
NPI 1528112364

Ava Moore-daniels is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Powellsville, NC. Ava Moore-daniels practices in Powellsville, NC. The NPI Number for Ava Moore-daniels is 1528112364 and holds a License No. FCL-008-015 (North Carolina).

The current practice location address for Ava Moore-daniels is 154 Hwy Nc 42, Powellsville, NC and can be reached out via phone at 252-332-6804 and via fax at 252-332-5199.

Location: 154 Hwy Nc 42, Powellsville, NC, 27967-0218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528112364
Provider Name
Ava Moore-daniels
Credential
Provider Entity Type
Organization
Address
154 Hwy Nc 42, Powellsville, NC, 27967-0218
Phone Number
252-332-6804
Fax Number
252-332-5199
Provider Enumeration Date
01/22/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7804706 05 NC
institution
Provider Business Practice Location Address Details
Address
154 Hwy Nc 42
City
Powellsville
State
North Carolina
Zip
27967-0218
Phone Number
252-332-6804
Fax Number
252-332-5199
person
Provider Business Mailing Address Details
Address
154 Hwy Nc 42
City
Powellsville
State
North Carolina
Zip
27967-0218
Phone Number
252-332-6804
Fax Number
252-332-5199
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
FCL-008-015 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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