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

Individual provider Attendant Care Provider · NPI 1336747518

Rasha Iman Moore, ADMIN, AFH is an Attendant Care Provider in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

6112 N 37th St
Milwaukee, WI 53209-3611
Phone: (262) 417-6800
Fax: (414) 988-6233
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Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence 0017514 (WI)
Attendant Care Provider Taxonomy 3747A0650X · Licence 0017514 (WI)

Record details

NPI number1336747518
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADMIN , AFH
Sole proprietorYes
NPI enumeratedOctober 11, 2020
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020
Mailing address6112 N 37th St, Milwaukee, WI 53209-3611

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