MEDICARE: DARCEL LEANN INGRAM MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	230015346550711	MI

General Provider Information

NPI Number	:	1922748649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARCEL LEANN INGRAM MOORE

Provider Business Mailing Address
First Line	:	178 ARLINGTON ST
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-1247
Country	:	US
Telephone Number	:	313-918-7853
Fax Number	:

Provider Business Practice Location Address
First Line	:	178 ARLINGTON ST
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-1247
Country	:	US
Telephone Number	:	313-918-7853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	03/30/2022

Similar Medicare Providers

1225587819 — ANDREA GUESS
Practice Location Address:

150 ARLINGTON ST
INKSTER, MI
48141-1247

Practice Phone: 313-693-8127
Practice Fax:

1811851884 — NOUR HREISH
Practice Location Address:

314 INKSTER RD
INKSTER, MI
48141-1209

Practice Phone: 989-284-7318
Practice Fax:

1386634863 — CITY OF INKSTER
Practice Location Address:

27717 MICHIGAN AVE
INKSTER, MI
48141-2203

Practice Phone: 313-563-9874
Practice Fax: 313-563-6660

1326074717 — DR. MICHAEL FRANK JERMOV DDS
Practice Location Address:

1444 INKSTER RD
INKSTER, MI
48141-1829

Practice Phone: 313-565-5980
Practice Fax: 313-565-5097

1972530277 — WESTERN WAYNE FAMILY HEALTH CENTERS
Practice Location Address:

2700 HAMLIN BLVD
INKSTER, MI
48141-2206

Practice Phone: 313-561-5100
Practice Fax: 313-565-0309

1104856897 — ANN R GILLETT-ELRINGTON M.D.
Practice Location Address:

2700 HAMLIN BLVD
INKSTER, MI
48141-2206

Practice Phone: 313-561-5100
Practice Fax: 313-565-0309

Directions to “ DARCEL LEANN INGRAM MOORE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.