Rasha Iman Moore, ADMIN, AFH Valid NPI

Individual provider · Assisted Living Facility (Behavioral Disturbances) · Milwaukee, WI

NPI

1336747518

Type

Individual (Type 1)

Primary specialty

Assisted Living Facility (Behavioral Disturbances) (Assisted Living Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3104A0630X

License number

0017514 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-10-11

Last updated

2020-10-12