Richard L Moore
Richard L Moore is a Supports Brokerage Agency in Medina, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
5000 Gateway Dr Ste 213Medina, OH 44256
Phone: (330) 461-1164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Supports Brokerage Agency (primary) | Taxonomy 251X00000X |
|---|
Record details
| NPI number | 1275104655 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 7, 2021 |
| Last updated in NPPES | July 21, 2021 |
| Certification date | July 21, 2021 |
| Mailing address | 5000 Gateway Dr, Suite 213, Medina, OH 44256 |
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