Individual
MS. TIA M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6897 W M 21, SAINT JOHNS, MI 48879-9509
(202) 489-4842
(989) 224-1925
Mailing address
6897 W M 21, SAINT JOHNS, MI 48879-9509
(202) 489-4842
(989) 224-1925
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/01/2007
Last updated
09/11/2025
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