Healthcare Provider Details

I. General information

NPI: 1124231782
Provider Name (Legal Business Name): MOORE CENTER SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 MCGREGOR ST STE 400
MANCHESTER NH
03102-3709
US

IV. Provider business mailing address

195 MCGREGOR ST STE 400
MANCHESTER NH
03102-3709
US

V. Phone/Fax

Practice location:
  • Phone: 603-206-2700
  • Fax: 603-622-4278
Mailing address:
  • Phone: 603-206-2700
  • Fax: 603-622-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KATHYE KING
Title or Position: COO
Credential:
Phone: 603-455-6975