Individual provider · Type 1 NPI
Rasha Iman Moore, ADMIN, AFH
Assisted Living Facility (Behavioral Disturbances) · Milwaukee, WI
Practice location
6112 N 37th St
Milwaukee, WI 53209-3611
Fax (414) 988-6233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider | 3747A0650X | 0017514 (WI) |
| Assisted Living Facility (Behavioral Disturbances) Primary | 3104A0630X | 0017514 (WI) |
Assisted Living Facility (Behavioral Disturbances): A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
About NPI 1336747518
Rasha Iman Moore, ADMIN, AFH's National Provider Identifier is 1336747518, issued on Oct 11, 2020. The primary taxonomy on file is Assisted Living Facility (Behavioral Disturbances) (3104A0630X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 12, 2020.