Individual
SUSIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PERSONAL CARE AGENCY
Contact information
Practice address
9330 W LINCOLN AVE STE 20, WEST ALLIS, WI 53227-2300
(414) 732-9469
(414) 539-6645
Mailing address
9330 W LINCOLN AVE STE 20, WEST ALLIS, WI 53227-2300
(414) 732-9469
(414) 539-6645
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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