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Organization

ERICA MOORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA M MOORE (NON AGENCY PERSONAL CARE AIDE)
(330) 720-9699
Entity
Organization

Contact information

Practice address
123 N HARTFORD AVE, YOUNGSTOWN, OH 44509
(330) 720-9699
Mailing address
123 N HARTFORD AVE, YOUNGSTOWN, OH 44509-2321
(330) 720-9699

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0119273
OH
05
1529200136
OH
Enumeration date
10/28/2015
Last updated
10/28/2015
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