Moderate Living for the Aging Inc
Organization Active NPI Clinic/Center · Mount Gilead, NC
NPI 1609233295 · NPPES record last updated Dec 1, 2021
Key facts
- NPI
- 1609233295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 90368 (NC)
- Legal business name
- MODERATE LIVING FOR THE AGING INC
- Practice address
- 110 Roosevelt St
Mount Gilead, NC 27306-9606 - Phone
- (910) 439-1635
- NPI assigned
- Jan 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Mystery E Willis
- Title
- Ceo
- Phone
- (910) 439-1669
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 90368 | NC | Yes |
| Assisted Living Facility | 310400000X | 902768 | NC | |
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
110 Roosevelt St
Mount Gilead, NC 27306-9606
Mailing address
PO Box 1312
Mount Gilead, NC 27306-1312
Phone (910) 439-1669
Other names
- Mt. Gilead Independent Senior and Assisted Living
Other providers in Mount Gilead, NC
- Ursula Nichole Little
- Lolasafehaventt@Gmail.Com
- Johnny L. McKinnon Jr.
- MCPC-8, LLC
- Bobby McRae
- Monarch
- Monarch
- Mount Gilead LLC
- Mount Gilead LLC
- Patton Group, LLC
All providers in Mount Gilead, NC · Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.