| Mooreresidence Home, Inc | |
|
16305 107th Ave Suite 1r Jamaica NY 11433-2101 | |
| (718) 739-7420 | |
| (718) 487-3722 |
| Full Name | Mooreresidence Home, Inc |
|---|---|
| Speciality | Licensed Practical Nurse |
| Location | 16305 107th Ave, Jamaica, New York |
| Authorized Official Name and Position | Donna A Moore (FOUNDER PRESIDENT) |
| Authorized Official Contact | 7187397420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mooreresidence Home, Inc P.o. Box 650 439 Fresh Meadows NY 11365 Ph: (718) 739-7420 | Mooreresidence Home, Inc 16305 107th Ave Suite 1r Jamaica NY 11433-2101 Ph: (718) 739-7420 |
| NPI Number | 1154468015 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154468015 | NPI | - | NPPES |
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