Organization
MOORE LIVING CARE SERVICES LLC
Active
Other names
Rakiya Moore
Organization subpart
No
Provider details
NPI number
Authorized official
RAKIYA MOORE (OWNER/LPN)
(313) 633-5411
Entity
Organization
Contact information
Practice address
43 W AUBURN ST, ECORSE, MI 48229-1803
(313) 633-5411
Mailing address
43 W AUBURN ST, ECORSE, MI 48229-1803
(313) 633-5411
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033840616
INDIVIDUAL
MI
Enumeration date
05/20/2024
Last updated
05/20/2024
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