Cisco Moore
Cisco Moore is a Community/Behavioral Health Agency in Ravenna, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4300 Lynn Rd Ste 201Ravenna, OH 44266-7838
Phone: (216) 264-0008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1700479508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2021 |
| Last updated in NPPES | February 12, 2021 |
| Certification date | February 12, 2021 |
| Mailing address | 268 E Lods St, Akron, OH 44304-1110 |
Other providers in Ravenna
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Chloe Layne
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Johnnie Legrair III
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John Francis Mahlmeister III
4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 · (216) 264-0008
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Alysa McKinstry
4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 · (216) 264-0008
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Keyona Michelle Moore
4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 · (216) 264-0008
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Brandi L Perry
4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 · (216) 264-0008
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