Provider / Organization | NPI | Date Certified |
---|---|---|
FELICIA SANDRA MOORE | 1255958096 | 2020-06-27 |
Felicia Sandra Moore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255958096. Registration indicates Felicia Sandra Moore is a provider of services with a specialization in Nursing Service Related Providers, Home Health Aide (Home Health Aide, ) (Home Health Aide, Nursing Service Related Providers)
Entity Type | Individual |
Provider Name | Felicia Sandra Moore |
Practice Office Address | 6599 S BROADWAY IDLEWILD, MI US |
Practice Office Telephone | 2314086200 |
Mailing Address | 6599 S BROADWAY IDLEWILD, MI 496429577 US |
Business Telephone | 2314086200 |
Code | Practice | License No State |
---|---|---|
374U00000X PRIMARY | Nursing Service Related Providers Home Health Aide Home Health Aide Home Health Aide Nursing Service Related Providers |