Individual
LUCY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5091 MCCORMICK RD APT B, RAVENNA, OH 44266-9118
(330) 780-7956
Mailing address
5091 MCCORMICK RD APT B, RAVENNA, OH 44266-9118
(330) 780-7956
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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