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

DIANNE MOODY

Active Sole Proprietor

DIANNE MOODY is a In Home Supportive Care Agency healthcare provider located in BAY ST LOUIS, Mississippi. NPI 1215753264 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · BAY ST LOUIS, MS

Registration Details

NPI Number
1215753264
Provider Type
Individual
Gender
Female
NPI Issued
Nov 25, 2024 (1.7308658185951 yrs)
Last Updated
Nov 25, 2024
License
1456198 (MS)
Sole Proprietor
Yes

Practice Information

Address
412 HIGHWAY 90 STE 11
BAY ST LOUIS, MS, 395203534
Browse MS providers · Browse ZIP 39520
Phone
2283042880
Primary Specialty
In Home Supportive Care Agency
253Z00000X
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.