Organization
OUTREACH MRDD SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRADA M MORELAND (OWNER)
(740) 380-1572
Entity
Organization
Contact information
Practice address
28075 LOGAN HORNSMILL RD, SUGAR GROVE, OH 43155-9613
(740) 380-1572
Mailing address
28075 LOGAN HORNSMILL RD, SUGAR GROVE, OH 43155-9613
(740) 380-1572
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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