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David Moore Jr — NPI 1679798045, Durham, NC | NPI Central

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NPI 1679798045

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

Mental Illness Intermediate Care FacilityPrimary310500000XLicense MHL-032-304 (NC)
Nursing & Custodial Care Facilities

Practice location

3108 Dearborn Dr

Durham, NC 27704-2306

Phone: (919) 632-9219

Approximate (ZIP-level) locationGet directions

More NC providers

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.