Individual
TERRI ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3407 E 137TH ST, CLEVELAND, OH 44120-3924
(216) 288-6720
Mailing address
3407 E 137TH ST, CLEVELAND, OH 44120-3924
(216) 288-6720
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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