OrganizationActive
David Moore Jr
NPI 1679798045 · Mental Illness Intermediate Care Facility · Durham, NC
Provider details
- NPI number
- 1679798045
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Moore, Owner(919) 632-9219
- License
- MHL-032-304 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3108 Dearborn Dr
Durham, NC 27704-2306
Phone: (919) 632-9219
Approximate (ZIP-level) locationGet directions
Mailing address
3108 Dearborn Dr
Durham, NC 27704
Other names (DBA / former)
- Doing business as
- Moores House
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.