Individual
RASHA IMAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMIN, AFH
Contact information
Practice address
6112 N 37TH ST, MILWAUKEE, WI 53209-3611
(262) 417-6800
(414) 988-6233
Mailing address
6112 N 37TH ST, MILWAUKEE, WI 53209-3611
(262) 417-6800
(414) 988-6233
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
0017514
WI
3747A0650X
Attendant Care Provider
0017514
WI
Other
Enumeration date
10/11/2020
Last updated
10/12/2020
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