Darian Moore

NPI #1508755380 in Ecorse, Michigan

Provider Information

NPI Number: 1508755380
Entity Type: Individual
Name: Darian Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician - Attendant Care Provider
Enumeration Date: Jun 28, 2025
Last Updated: Jul 2, 2025

Practice Location

Address: 4288 W JEFFERSON AVE
City: Ecorse
State: Michigan
ZIP Code: 48229-1558
Phone: (734) 612-3318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor - Home Modifications — Home Modifications	171WH0202X
Community Health Worker	172V00000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Homemaker	376J00000X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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