Susie Moore, PERSONAL CARE AGENCY
NPI #1326609520 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1326609520
- Entity Type
- Individual
- Name
- Susie Moore, PERSONAL CARE AGENCY
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Credential
- PERSONAL CARE AGENCY
- Enumeration Date
- Jun 27, 2019
- Last Updated
- Jun 27, 2019
Practice Location
- Address
- 9330 W LINCOLN AVE STE 20
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2300
- Phone
- (414) 732-9469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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