Individual provider · Type 1 NPI
Tanisha Moore, PHLEBOTOMY TECH
Home Health Agency · Vacherie, LA
Practice location
2415 Magnolia Gardens St # 134B
Vacherie, LA 70090-5529
Mailing address
14445 Rutherford St
Detroit, MI 48227-1872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency Primary | 251E00000X | None listed |
| Technician | 374700000X | None listed |
Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…
About NPI 1639940133
Tanisha Moore, PHLEBOTOMY TECH's National Provider Identifier is 1639940133, issued on Jan 12, 2024. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Vacherie, LA. The record was last updated on May 14, 2026.