Individual
PAUL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 ABBE RD N STE H, ELYRIA, OH 44035-3718
(216) 242-8015
Mailing address
515 ABBE RD N STE H, ELYRIA, OH 44035-3718
(216) 242-8015
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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