Shawn Moore is a Home Health Aide based in Detroit, MI. Shawn Moore practices in Detroit, MI. The NPI Number for Shawn Moore is 1942675244 and holds a License No. (Michigan).
The current practice location address for Shawn Moore is 1410 Washington Blvd, Detroit, MI and can be reached out via phone at 313-646-5591.
Location: 1410 Washington Blvd, Detroit, MI, 48226-1719
Provider Profile Details
NPI Number
1942675244
Provider Name
Shawn Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1410 Washington Blvd, Detroit, MI, 48226-1719
Phone Number
313-646-5591
Fax Number
Provider Enumeration Date
12/11/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M600765081141 | 05 | MI |
Provider Business Practice Location Address Details
Address
1410 Washington Blvd
City
State
Zip
48226-1719
Phone Number
313-646-5591
Fax Number
Provider Business Mailing Address Details
Address
1410 Washington Blvd
City
State
Zip
48226-1719
Phone Number
313-646-5591
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Badge
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