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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLADYS MOORE

Active Sole Proprietor

GLADYS MOORE is a Behavioral Health, Residential healthcare provider located in ROXBORO, North Carolina. NPI 1669898391 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · ROXBORO, NC

Registration Details

NPI Number
1669898391
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2014 (12.479782439938 yrs)
Last Updated
Mar 5, 2014
Sole Proprietor
Yes

Practice Information

Address
45 SOUTHERN VILLAGE DR
ROXBORO, NC, 275732516
Browse NC providers · Browse ZIP 27573
Phone
9198905569
Primary Specialty
Behavioral Health, Residential
251C00000X
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.