Tina Marie Moore
Tina Marie Moore is a Home Health Aide in Waterloo, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
347 Covington Dr Ste AWaterloo, IL 62298-3287
Phone: (618) 257-2200
Fax: (618) 257-2205
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X · Licence 3000256 (IL) |
|---|---|
| Home Health Aide | Taxonomy 374U00000X · Licence 3000256 (IL) |
| Adult Companion | Taxonomy 372600000X · Licence 3000256 (IL) |
Record details
| NPI number | 1679173967 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 27, 2020 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |