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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELOIS MOORE

Active Sole Proprietor

ELOIS MOORE is a Community Health Worker healthcare provider located in DETROIT, MI, Michigan. NPI 1104677509 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · DETROIT, MI, MI

Registration Details

NPI Number
1104677509
Provider Type
Individual
Gender
Female
NPI Issued
Apr 1, 2024 (2.3815672589226 yrs)
Last Updated
Apr 1, 2024
Sole Proprietor
Yes

Practice Information

Address
FARWELL RECREATION CENTER
2711 E. OUTER DRIVE
DETROIT, MI, MI, 48234
Browse MI providers · Browse ZIP 48234
Phone
1313419193
Primary Specialty
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.