institution
David Moore Jr
Mental Illness Intermediate Care Facility in Durham, North Carolina
NPI 1679798045

David Moore Jr is a Mental Illness Intermediate Care Facility based in Durham, NC. David Moore Jr practices in Durham, NC. The NPI Number for David Moore Jr is 1679798045 and holds a License No. MHL-032-304 (North Carolina).

The current practice location address for David Moore Jr is 3108 Dearborn Dr, Durham, NC and can be reached out via phone at 919-632-9219. You can also correspond with David Moore Jr through the mailing address at 3108 DEARBORN DR, DURHAM, NC - 27704 (mailing address contact number: 919-632-9219).

Location: 3108 Dearborn Dr, Durham, NC, 27704
institution
Provider Profile Details
NPI Number
1679798045
Provider Name
David Moore Jr
Credential
Provider Entity Type
Organization
Address
3108 Dearborn Dr, Durham, NC, 27704
Phone Number
919-632-9219
Fax Number
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805024 05 NC
institution
Provider Business Practice Location Address Details
Address
3108 Dearborn Dr
City
State
Zip
27704-2306
Phone Number
919-632-9219
Fax Number
person
Provider Business Mailing Address Details
Address
3108 Dearborn Dr
City
State
Zip
27704-2306
Phone Number
919-632-9219
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
License No.
MHL-032-304 (North Carolina)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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