Individual ProviderLorraine MooreRegistered NurseNursing Service ProvidersPractice Address719 Prosperous Valley Rd, Middletown, NY 10940-8423(253) 686-6048PECOS EnrollmentBased on the most recent information from CMS, provider Lorraine 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 2 days ago.Profile DetailsProvider ID1689499097Provider TypeIndividualFull NameMoore, LorraineGenderFemaleSole ProprietorYesEnumeration Date11/20/2024Last Updated11/20/2024Contact InformationPractice LocationPractice Address719 Prosperous Valley Rd, Middletown, NY 10940-8423Phone(253) 686-6048FaxUnlisted FaxMailing LocationMailing Address719 Prosperous Valley Rd, Middletown, NY 10940-8423PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense739877New York