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1255456380
MARGARETTA HINES MOORE
WINSTON SALEM, NC
NPI
1255456380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: NC FCL 034024)
Enumeration Date
2007-03-20
Last Update Date
2007-07-09
Business Address
Mrs. MARGARETTA HINES MOORE Administrator
2224 MANCHESTER ST
WINSTON SALEM, NC 27105-5536
Phone number: 336-727-1308
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Mailing Address
Mrs. MARGARETTA HINES MOORE Administrator
2224 MANCHESTER ST
WINSTON SALEM, NC 27105-5536
Phone number: 336-727-1308
Copy
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