Organization
REST-MOORE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORGAN MIRACLE RRT (PRESIDENT/OWNER)
(606) 302-4309
Entity
Organization
Contact information
Practice address
1632 CUMBERLAND AVE, SUITE 1, MIDDLESBORO, KY 40965-1378
(606) 302-4309
(606) 766-0808
Mailing address
1632 CUMBERLAND AVE, SUITE 1, MIDDLESBORO, KY 40965-1378
(606) 302-4309
(606) 766-0808
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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