IndividualActive
Jimmy Moon
NPI 1992170211 · Home Modifications Contractor · Milton, DE
Provider details
- NPI number
- 1992170211
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2015102773 (DE)
Specialties & taxonomies
Other Service Providers
Practice location
16541 Sweetwater Dr
Milton, DE 19968-3062
Phone: (302) 500-0950
Approximate (ZIP-level) locationGet directions
Mailing address
16541 Sweetwater Dr
Milton, DE 19968-3062
Registry dates
- Enumerated
- 2015-12-11
- Last updated
- 2015-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.