IndividualActive
Rasha Moore, ADMIN, AFH
NPI 1336747518 · Assisted Living Facility (Behavioral Disturbances) · Milwaukee, WI
Provider details
- NPI number
- 1336747518
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Credential
- ADMIN, AFH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0017514 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing Service Related Providers
Practice location
6112 N 37th St
Milwaukee, WI 53209-3611
Phone: (262) 417-6800
Fax: (414) 988-6233
Approximate (ZIP-level) locationGet directions
Mailing address
6112 N 37th St
Milwaukee, WI 53209-3611
Registry dates
- Enumerated
- 2020-10-11
- Last updated
- 2020-10-12
- Certified
- 2020-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.