Provider Demographics
NPI:1912305624
Name:MOORE REGISTRY
Entity Type:Organization
Organization Name:MOORE REGISTRY
Other - Org Name:AOS AT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NATT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCM, CSA
Authorized Official - Phone:910-692-0683
Mailing Address - Street 1:PO BOX 2478
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28388-2478
Mailing Address - Country:US
Mailing Address - Phone:910-692-0683
Mailing Address - Fax:910-695-0766
Practice Address - Street 1:676 NW BROAD ST
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-4105
Practice Address - Country:US
Practice Address - Phone:910-692-0683
Practice Address - Fax:910-695-0766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management