Organization
MOSEZIT MOORE HOUSE ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE GLOVER (OWNER)
(440) 991-6347
Entity
Organization
Contact information
Practice address
1797 S GREEN RD, SOUTH EUCLID, OH 44121-4209
(440) 991-6347
Mailing address
1797 S GREEN RD, SOUTH EUCLID, OH 44121-4209
(440) 991-6347
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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