Individual provider · Type 1 NPI
Tavarius Jerrell Moore
Adult Care Home Facility · Burlington, NC
NPI number
1104384262
Active
Practice location
206 Friendly Rd
Burlington, NC 27217-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | FCL-001-107 (NC) |
Adult Care Home Facility: 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.
2 other providers at this address
Other adult care home facility providers in Burlington
About NPI 1104384262
Tavarius Jerrell Moore's National Provider Identifier is 1104384262, issued on Mar 7, 2019. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Burlington, NC. The record was last updated on Mar 7, 2019.