Individual
RONDELL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 N 90TH ST, OMAHA, NE 68134-4136
(402) 401-6689
Mailing address
3160 AMES AVE # 7, OMAHA, NE 68111-2759
(402) 884-9250
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/15/2025
Last updated
11/05/2025
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