Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elijah Moreno, RECOVERYASSISTANT

Individual provider Case Manager/Care Coordinator · NPI 1518358720

Elijah Moreno, RECOVERYASSISTANT is a Case Manager/Care Coordinator in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015
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Practice location Address checks out

210 N Shamrock Blvd
Russellville, AR 72802-9658
Phone: (501) 315-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (AR)

Record details

NPI number1518358720
Entity typeIndividual (Type 1)
GenderMale
Credentials RECOVERYASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 10, 2015
Last updated in NPPESFebruary 10, 2015

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