MOORERESIDENCE HOME, INC
Nursing at 107 Ave, Jamaica, NY

License number
New York 10889
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
New York 003801-1
Category
Mental Health
Type
Mental Health
License number
New York 209905-1
Category
Nursing
Type
Licensed Practical Nurse
Owner
Name: MS. DONNA A MOORE MHS, LMHC
Title: FOUNDER PRESIDENT
Phone: (718) 739-7420
Address
Address 2
16305 107Th Ave SUITE 1R, Jamaica, NY 11433
650 439, Flushing, NY 11365
National Provider ID: 1154468015
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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