Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAVARIUS JERRELL MOORE
Active Sole ProprietorTAVARIUS JERRELL MOORE is a Assisted Living Facility healthcare provider located in BURLINGTON, North Carolina. NPI 1104384262 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · BURLINGTON, NC
Registration Details
- NPI Number
- 1104384262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2019 (7.437476209956 yrs)
- Last Updated
- Mar 7, 2019
- License
-
FCL-001-107 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
206 FRIENDLY RDBURLINGTON, NC, 272172502Browse NC providers · Browse ZIP 27217
- Phone
- 8046243515
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Other Assisted Living Facility Providers in BURLINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| LAWANDA RAY | — | 1790126126 |
| SHEMIA GARNER | — | 1972934685 |
| TERESA E WILEY | — | 1639821382 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.