Shannon Roberta Moore

NPI #1043825565 in Parma, Ohio

Provider Information

NPI Number: 1043825565
Entity Type: Individual
Name: Shannon Roberta Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: In Home Supportive Care
Enumeration Date: Sep 11, 2020
Last Updated: Sep 11, 2020

Practice Location

Address: 5686 BROADVIEW RD APT 2520
City: Parma
State: Ohio
ZIP Code: 44134-1647
Phone: (161) 480-6070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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