MS. Leeann Moore
MS. Leeann Moore is a Respite Care in Hazlet Township, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
210 4th StHazlet Township, NJ 07734-2918
Phone: (732) 768-7227
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (NJ) |
|---|---|
| Respite Care | Taxonomy 385H00000X |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
Record details
| NPI number | 1699419556 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 26, 2022 |
| Last updated in NPPES | September 18, 2023 |
| Certification date | September 18, 2023 |
| Mailing address | 210 4th St, W.Keansburg, NJ 07734-2918 |