Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LATISHA MOORE, BS
Active Sole ProprietorMRS. LATISHA MOORE, BS is a Case Management Agency healthcare provider located in WASHINGTON, North Carolina. NPI 1992860670 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · WASHINGTON, NC
Registration Details
- NPI Number
- 1992860670
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 24, 2006 (19.617187020543 yrs)
- Last Updated
- Jan 7, 2008
- License
-
MHL-007-062 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
139 W 3RD STREETWASHINGTON, NC, 278893565Browse NC providers · Browse ZIP 27889
- Phone
- 2529407260
- Fax
- 2529407261
- Primary Specialty
-
Case Management Agency
251B00000X
- Additional Specialty
- Case Manager
- Additional Specialty
- Case Management Agency
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
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.