Moore Residence Home, Inc. Multi Purpose Center | |
16305 107th Ave Suite 1r Jamaica NY 11433-2101 | |
(718) 739-7420 | |
(718) 487-3722 |
Full Name | Moore Residence Home, Inc. Multi Purpose Center |
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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 |
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Moore Residence Home, Inc. Multi Purpose Center P.o. Box 650 439 Fresh Meadows NY 11365 Ph: (718) 739-7420 | Moore Residence Home, Inc. Multi Purpose Center 16305 107th Ave Suite 1r Jamaica NY 11433-2101 Ph: (718) 739-7420 |
NPI Number | 1154468015 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1154468015 | NPI | - | NPPES |
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