Individual
DARIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4288 W JEFFERSON AVE, ECORSE, MI 48229-1558
(734) 612-3318
Mailing address
PO BOX 871823, CANTON, MI 48187-7523
(734) 612-3318
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
172V00000X
Community Health Worker
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/28/2025
Last updated
07/02/2025
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