Connie Moore

NPI #1790574135 in Columbia Heights, Minnesota

Provider Information

NPI Number: 1790574135
Entity Type: Individual
Name: Connie Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: May 2, 2025
Last Updated: Jul 10, 2025

Practice Location

Address: 249 MAUREEN LN NE
City: Columbia Heights
State: Minnesota
ZIP Code: 55421-2796
Phone: (763) 203-0266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Homemaker	376J00000X	Primary

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