Provider Demographics
NPI:1215037528
Name:MOVE & GROW INC
Entity Type:Organization
Organization Name:MOVE & GROW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-896-8688
Mailing Address - Street 1:9835 NORTHCROSS CENTER CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7302
Mailing Address - Country:US
Mailing Address - Phone:704-896-8688
Mailing Address - Fax:
Practice Address - Street 1:9835 NORTHCROSS CENTER CT
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7302
Practice Address - Country:US
Practice Address - Phone:704-896-8688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4035174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7212138Medicaid
NC7210237Medicaid
NC7211770Medicaid
NC7211540Medicaid
NC7210492Medicaid
NC7211597Medicaid