MEDICARE: BUILDING FUTURES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	MHL-032-469	NC

General Provider Information

NPI Number	:	1245566173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUILDING FUTURES, LLC

Provider Business Mailing Address
First Line	:	3622 SHANNON RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3771
Country	:	US
Telephone Number	:	919-749-8015
Fax Number	:

Provider Business Practice Location Address
First Line	:	3622 SHANNON RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3771
Country	:	US
Telephone Number	:	919-749-8015
Fax Number	:

Authorized Official
Title or Position	:	PRERSIDENT
Name	:	SHARON E MOORE
Credential	:
Telephone Number	:	919-479-8015

Provider Enumeration Date	:	10/28/2009
Last Update Date	:	10/28/2009

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Directions to “BUILDING FUTURES, LLC ” Practice Location

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