Jerry D Moses, bs
Case Manager/Care Coordinator in Southgate, MI. Individual provider (NPI-1).
NPI number1124149786
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124149786
- Entity type
- Individual (NPI-1)
- Name
- Jerry D Moses
- Credential
- bs
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 6802073537 | MI | Yes |
Practice location
13101 Allen RdSouthgate, MI 48195-2216
Phone 734-785-7705
Mailing address
13101 Allen RdSouthgate, MI 48195-2216
Phone 734-785-7705
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All 96 Case Manager/Care Coordinator providers in Southgate · All 2,117 providers in Southgate
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