Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Moore

Individual provider Personal Care Attendant · NPI 1679739759

Jaclyn Moore is a Personal Care Attendant in Southgate, Michigan. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

19401 Northline Rd
Southgate, MI 48195-2277
Phone: (734) 785-7718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1679739759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2008
Last updated in NPPESJuly 29, 2008
Mailing address2084 Cicotte Ave, Lincoln Park, MI 48146-1309

Other providers in Southgate