Organization · Type 2 NPI

David Moore JR

Mental Illness Intermediate Care Facility · Durham, NC

NPI number 1679798045 Active

Practice location

3108 Dearborn Dr
Durham, NC 27704-2306

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Intermediate Care Facility Primary 310500000XMHL-032-304 (NC)

Mental Illness Intermediate Care Facility: 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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About NPI 1679798045

David Moore JR's National Provider Identifier is 1679798045, issued on Apr 13, 2007. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Durham, NC. The record was last updated on Jun 25, 2008.