Individual ProviderGoldie MooreLicensed Practical NurseNursing Service ProvidersPractice Address140 Charwood Cir, Rochester, NY 14609-2706(585) 773-0785PECOS EnrollmentBased on the most recent information from CMS, provider Goldie Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1639683428Provider TypeIndividualFull NameMoore, GoldieCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date12/1/2017Last Updated12/1/2017Contact InformationPractice LocationPractice Address140 Charwood Cir, Rochester, NY 14609-2706Phone(585) 773-0785FaxUnlisted FaxMailing LocationMailing Address140 Charwood Cir, Rochester, NY 14609-2706PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense330941New York