Derek Moore
Derek Moore is an In Home Supportive Care Agency in Bennington, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
15024 Mormon StBennington, NE 68007-1246
Phone: (402) 889-3140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|
Record details
| NPI number | 1306462833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 20, 2020 |
| Last updated in NPPES | June 20, 2020 |
| Certification date | June 20, 2020 |
| Mailing address | 15024 Mormon St, Bennington, NE 68007-1246 |
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