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Moore Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, North Carolina
NPI 1639204233

Moore Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Jacksonville, NC. Moore Home practices in Jacksonville, NC. The NPI Number for Moore Home is 1639204233 and holds a License No. MHL-147 (North Carolina).

The current practice location address for Moore Home is 232 Newport Dr, Jacksonville, NC and can be reached out via phone at 910-353-9328.

Location: 232 Newport Dr, Jacksonville, NC, 28540-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639204233
Provider Name
Moore Home
Credential
Provider Entity Type
Organization
Address
232 Newport Dr, Jacksonville, NC, 28540-4005
Phone Number
910-353-9328
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHL-147 01 NC M H FACILITY LICENSE#
3409541 05 NC
institution
Provider Business Practice Location Address Details
Address
232 Newport Dr
City
Jacksonville
State
North Carolina
Zip
28540-4005
Phone Number
910-353-9328
Fax Number
person
Provider Business Mailing Address Details
Address
232 Newport Dr
City
Jacksonville
State
North Carolina
Zip
28540-4005
Phone Number
910-353-9328
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-147 (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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