Individual
DESTINI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20101 HOUGHTON ST, DETROIT, MI 48219-1288
(734) 572-6127
Mailing address
20101 HOUGHTON ST, DETROIT, MI 48219-1288
(734) 572-6127
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
10/27/2025
Last updated
11/04/2025
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