Individual
CHANELL RENEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1674 MAXEN DR, AKRON, OH 44307-1031
(330) 234-1307
Mailing address
1674 MAXEN DR, AKRON, OH 44307-1031
(330) 234-1307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
—
OH
3747P1801X
Personal Care Attendant
—
OH
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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