Healthcare Provider Details

I. General information

NPI: 1770646978
Provider Name (Legal Business Name): THE MOORINGS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 12/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 MOORINGS PARK DR
NAPLES FL
34105-2122
US

IV. Provider business mailing address

120 MOORINGS PARK DR
NAPLES FL
34105-2122
US

V. Phone/Fax

Practice location:
  • Phone: 239-643-9178
  • Fax: 239-262-3235
Mailing address:
  • Phone: 239-643-9192
  • Fax: 239-262-3235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY MORTON
Title or Position: CFO
Credential:
Phone: 239-919-1701