Tavarius Jerrell Moore
Tavarius Jerrell Moore is an Adult Care Home Facility in Burlington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2019
Practice location Address checks out
206 Friendly RdBurlington, NC 27217-2502
Phone: (804) 624-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence FCL-001-107 (NC) |
|---|
Record details
| NPI number | 1104384262 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2019 |
| Last updated in NPPES | March 7, 2019 |
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