Individual
JOHNNY RAY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4336 BINNEY ST, OMAHA, NE 68111-3040
(214) 875-3851
Mailing address
4336 BINNEY ST, OMAHA, NE 68111-3040
(214) 875-3851
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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