Individual
MRS. SHIRLEY ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 S 5TH ST STE 356C, SAINT CHARLES, MO 63301-2449
(844) 273-2700
Mailing address
1360 S 5TH ST STE 356C, SAINT CHARLES, MO 63301-2449
(844) 273-2700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
26D2254172
MO
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/15/2022
Last updated
04/21/2022
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