MEDICARE: TENDER MOORE CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043908270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER MOORE CARE LLC

Provider Business Mailing Address
First Line	:	2001 MARKET ST RM 2571
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-7044
Country	:	US
Telephone Number	:	718-300-3983
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 MARKET ST RM 2571
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-7044
Country	:	US
Telephone Number	:	718-300-3983
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIKA MOORE
Credential	:
Telephone Number	:	718-300-3983

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	04/26/2023

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Directions to “TENDER MOORE CARE LLC ” Practice Location

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