Shannon Roberta Moore
Shannon Roberta Moore is an In Home Supportive Care Agency in Parma, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2020
Practice location Address checks out
5686 Broadview Rd Apt 2520Parma, OH 44134-1647
Phone: (161) 480-6070
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 3018684 (OH) |
|---|
Record details
| NPI number | 1043825565 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 11, 2020 |
| Last updated in NPPES | September 11, 2020 |
| Certification date | September 11, 2020 |
| Mailing address | 5686 Broadview Rd Apt 2520, Parma, OH 44134-1647 |
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