Individual
CARLISA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4316 GRAND AVE, OMAHA, NE 68111-1855
(402) 812-5640
Mailing address
4316 GRAND AVE, OMAHA, NE 68111-1855
(402) 812-5640
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NE
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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