Moda Human Services L.L.C

LBN: Moda Human Services L.L.C
Moda Human Services L.L.C is an health care organization with primary practice located at 4420 Edrem Ave , Winston Salem NC 27101-2108. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Moda Human Services L.L.C can be contacted via phone (336) 725-9395, or through Samuzala, Malebogo Nanzala via phone (336) 705-0643.

Contact Information

Primary practice address
4420 Edrem Ave Winston Salem NC 27101-2108
Phone: (336) 725-9395
Fax: (336) 724-9365
Website:
Map and Directions
Authorized official contact:
Name: Samuzala, Malebogo Nanzala
Phone: (336) 705-0643

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X North Carolina

Profile Details

NPI number 1013158039
LBN Legal business name Moda Human Services L.L.C
DBA Doing business as
Authorized official Samuzala, Malebogo Nanzala
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2009
Last updated Mar 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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