Individual
SHEMICKA L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3488 GRANT ST, OMAHA, NE 68111-3641
(402) 880-9100
Mailing address
3488 GRANT ST, OMAHA, NE 68111-3641
(402) 880-9100
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
92127137
NE
3747P1801X
Personal Care Attendant
1053101469
NE
Other
Enumeration date
05/08/2025
Last updated
03/13/2026
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