MOORERESIDENCE HOME INC NPI 1154468015

NPI Information

MOORERESIDENCE HOME, INC is an addiction (substance use disorder) counselor in Jamaica, NY. MOORERESIDENCE HOME, INC NPI is 1154468015. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Moore Residence Home, Inc. Multi Purpose Center.

The provider's business location address is:

16305 107TH AVE
SUITE 1R
JAMAICA, NY
ZIP 11433-101
Phone: (718) 739-7420
Fax: (718) 487-3722

The provider's authorized official is Donna A Moore .
The authorized official title is FOUNDER PRESIDENTPresident and has the following contact phone number (718) 739-7420.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.