Individual
ELIZABETH MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AID
Contact information
Practice address
14565 STATE ROUTE 93, PEDRO, OH 45659-8702
(740) 442-8189
Mailing address
14565 STATE ROUTE 93, PEDRO, OH 45659-8702
(740) 442-8189
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2672497
—
OH
Enumeration date
03/01/2021
Last updated
03/01/2021
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