Jamila Moore
Home Health Aide in Wheaton, IL. Individual provider (NPI-1).
NPI number1235800905
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1235800905
- Entity type
- Individual (NPI-1)
- Name
- Jamila Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2021
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | m600-4348-3619 | IL | Yes |
Practice location
111 N County Farm RdWheaton, IL 60187-3977
Phone 630-221-7432
Mailing address
111 N County Farm RdWheaton, IL 60187-3977
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