Moore, Lillian A

Moore, Lillian A is an sole proprietor health care provider with primary practice located at 26 Ponderosa Ln , Palm Coast FL 32164-6750. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Moore, Lillian A can be contacted via phone (386) 283-3116.

Contact Information

Primary practice address
26 Ponderosa Ln Palm Coast FL 32164-6750
Phone: (386) 283-3116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X CNA269409 Florida

Profile Details

NPI number 1295351013
LBN Legal business name Moore, Lillian A
Credentials PCT,CNA, PHLEBOTOMIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2020
Last updated Jun 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers