Moore, Tavarius Jerrell

Moore, Tavarius Jerrell is an sole proprietor health care provider with primary practice located at 206 Friendly Rd , Burlington NC 27217-2502. He recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as his primary health care specialty. Moore, Tavarius Jerrell can be contacted via phone (804) 624-3515.

Contact Information

Primary practice address
206 Friendly Rd Burlington NC 27217-2502
Phone: (804) 624-3515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-001-107 North Carolina

Profile Details

NPI number 1104384262
LBN Legal business name Moore, Tavarius Jerrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2019
Last updated Mar 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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