Individual
AMY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 EVERGREEN CT, ASHLAND, OH 44805-2019
(419) 606-6520
Mailing address
12 EVERGREEN CT, ASHLAND, OH 44805-2019
(419) 606-6520
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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