David Moore Jr in Durham - Intermediate Care Facility, Mental Illness
David Moore Jr - NPI 1679798045
David Moore Jr is a Intermediate Care Facility, Mental Illness in Durham, North Carolina. David Moore Jr practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for David Moore Jr is 1679798045. The last update date is 2008-06-25.
David Moore Jr's current location address is 3108 Dearborn Dr, Durham, North Carolina. You can contact this provider via phone number 9196329219. The mailing address for David Moore Jr is 3108 Dearborn Dr, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Moore Jr |
|---|---|
| Address | 3108 Dearborn Dr, Durham, North Carolina |
| Phone Number | 9196329219 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Moore David |
| Telephone Number | 9196329219 |
NPI Number Detail
| NPI Number | 1679798045 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 3108 Dearborn Dr |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 27704 |
| Phone Number | 9196329219 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | MHL-032-304 |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805024 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Moore Jr by the Centers for Medicare & Medicaid Services?
The David Moore Jr has been issued the NPI (National Provider Identifier) 1679798045 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where David Moore Jr is located?
The David Moore Jr is situated at the following address: 3108 Dearborn Dr, Durham, NC, 27704.
What is David Moore Jr's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Moore Jr is Intermediate Care Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 310500000X.
When was the David Moore Jr's 1679798045 issued?
The David Moore Jr's 1679798045 was issued on 2007-04-13.
As of what date was the information pertaining to David Moore Jr, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Moore Jr, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-25.
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